白内障冷超声乳化摘除术在治疗硬核白内障的临床疗效分析

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1、白内障冷超声乳化摘除术在治疗硬核白内障的临床疗效分析李小慧1黄玉庚2(浙江省宁波市鄭州区第二医院浙江宁波315100)【摘要】冃的：比较常规口内障乳化术与冷超声乳化术在治疗硬核口内障方面的临床效果。方法：我院眼科2012年5月〜2013年5月收治的白内障患者90例，按随机数字表法分为观察组和对照组，对应随机数字为偶数者为观察组，奇数者为对照组，每组45例。对照组患者行常规连续模式下口内障乳化并进行折叠式人工晶状体植入术进行治疗，观察组患者行冷超声爆破模式下的白内障乳化并进行折叠式人工晶状体植入术进行治疗。比较两组患者术

2、屮有效超声时间、超声能量及累计复合超声能量参数，记录患者术后不同时间矫正视力及角膜水肿情况。结果：观察组术屮超声能量、超声时间、累积复合能量参数及术后Id及术后3d的0级和1级水肿人数比例较对照组比较，差异均具有统计学意义(P<0.05),两组术后Id、lwk、Imo、3mo矫正视力在0.57.0比例比较均不具有统计学意义(P>；0.05)o结论：冷超声乳化摘除III级以上核白内障并进行折叠式人工晶状体植入术，术后视力明显提升，角膜水肿程度较轻，更具安全性和有效性。【关键词】白内障；冷超声乳化；角膜水肿；矫正

3、视力【屮图分类号1R776.1【文献标识码］A【文章编号11004-6194(2015)01-0267-02AnalysisofColdUltrasonicEmulsificationExcisionforCataractintheTreatmentofHardNucleusCataract[Abstract]Objective：Tomakeacomparisonontheclinicalcurativeeffectbetweentheconventionalcataractphacoandcoldphacointhe

4、treatmentofhardnucleuscataract.Method：90casesofpatientswithcataractwereselectedintheophthalmologydepartmentofourhospitalfromMay2012toMay2013・Accordingtotherandomnumbertablemethod,theywererandomlydividedintotwogroups.Correspondingrandomnumberswereevennumbersasthe

5、observationgroup,oddnumbersasthecontrolgroup,45casesineachgroup.Patientsinthecontrolgroupereundergonecataractemulsificationintheconventionalcontinuousmodecombinedwithfoldableintraocularlensimplantationfortreatment,whilethepatientsintheobservationgroupwereundergo

6、necataractemulsificationinthecoldblastingmodecombinedwithfoldableintraocularlensimplantationfortreatment.Comparedeffectiveultrasonictime,ultrasonicenergyandthecumulativecompoundultrasonicenergyparametersoftwogroupsofpatientsduringtheoperationandrecordedthesituat

7、ionofthecorrectedvisualacuityandcornealedemawithdifferenttimeafteroperation.Results：Comparedwiththecontrolgroup,thedifferencesoftheintraoperativeultrasoundenergy,ultrasonictime,cumulativecompositeenergyparametersandthelevelsof0and1edemaproportion1dand3dafteroper

8、ationoftheobservationgroupwerestatisticallysign讦icant(P<0.05).Thepercentageofvisioncorrectioninthelevelof0.5~1.0wasnotstatisticallysignificantbetweentwogroupsofpos