陈小梅 谢奇英 刘新

[摘要] 目的 研究超聲乳化手术与小切口非超声乳化手术在白内障治疗中的应用价值。方法 方便选取2014年1月—2016年12月该院接诊的60例白内障患者为研究对象，采用电脑随机双盲法对所选患者进行分组：实验和对照两组各30例。实验组采用超声乳化术，对照组采用小切口非超声乳化术。观察两组手术治疗的效果，并对其手术后最佳矫正视力，以及并发症发生率等指标进行比较。结果 实验组术后1 d最佳矫正视力≥0.5的患者有25例，和对照组的19例比较明显增加，组间差异有统计学意义（P<0.05），但两组术后7 d、30 d最佳矫正视力≥0.5的患者例数比较则差异无统计学意义（P>0.05）；试验组并发症发生率为3.33%，明显低于对照组的23.33%，组间差异有统计学意义（P<0.05）。实验组的总有效率为97.67%，对照组为93.33%，组间差异无统计学意义（P>0.05）。 结论 对于白内障病患来说，超声乳化手术与小切口非超声乳化手术的实施最终都能取得比较显著的成效，但临床在对这两种术式进行选择时，还应严格把握其适应症，同时视患者白内障混浊程度以及手术者手术技巧掌握程度，才为其选择一种最佳的术式。如此，方可确保手术安全，减少并发症发生率，促进患者视觉功能的恢复。

[关键词] 小切口非超声乳化；疗效；白内障；视力

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0182-04

Clinical Analysis of Phacoemulsification and Small Incision Non-phacoemulsification in the Treatment of Cataract

CHEN Xiao-mei， XIE Qi-ying， LIU Xin

Ophthalmology Department， North Hospital of Fujian Provincial Hospital， Fujian Provincial Hospital of Fuzhou， Fuzhou， Fujian Province， 350000 China

[Abstract] Objective This paper tries to investigate the value of phacoemulsification and small incision non-phacoemulsification in cataract surgery. Methods 60 patients with cataract were enrolled in the study from January 2014 to December 2016. The patients were convenient selected divided into two groups by computer random double blind method： experiment and control group， 30 cases in each. The experimental group received phacoemulsification， while the control group received small incision non-phacoemulsification. The effect of surgical treatment in two groups was observed， and the best corrected visual acuity and complication rate after operation were compared. Results The postoperative best corrected visual acuity for one day was more than or equal to 0.5 in 25 cases， and control group of 19 cases， significantly increased， with significant difference （P<0.05）， but the two groups after 7 d， 30 d best corrected visual acuity， more than or equal to 0.5 had no significant difference（P>0.05）； the experimental group complication rate was 3.33%， significantly lower than 23.33% in the control group， significant difference between groups（P<0.05）. The total effective rate was 96.67% in the experimental group and 93.33% in the control group. The difference between the two groups was not obvious（P>0.05）. Conclusion For cataract patients， the implementation of phacoemulsification and small incision non-phacoemulsification surgery can eventually get remarkable results， but as for the choice of the two procedures in the clinical， the indications should be strictly grasped， at the same time as the patients of cataract surgery and surgical techniques of master degree and then choosing an optimal operation. In this way， the operation safety can be ensured， the complication rate can be reduced， and the visual function of the patient can be restored.

[Key words] Small incision non-phacoemulsification； Efficacy； Cataract； Vision

在眼部疾病中，白内障具有比较高的发病率，可对患者的视觉造成较大的影响。相关资料显示[1]，该病多发于老年群体，若患者病情严重还极有可能会导致失明，使得患者的生活质量大幅度降低。对此，临床需适当把握对白内障手术治疗的适应证。现阶段，手术是白内障的一种主要治疗手段，比如超声乳化手术，小切口非超声乳化手术等。……