常丽

[摘要] 目的 對比小切口非超声乳化术和超声乳化术治疗白内障的临床效果。 方法 研究对象为我院2016年6月～2017年8月治疗的白内障患者220例，随机将患者分为对照组和观察组，每组患者110例，两组患者入院后均进行常规术前检查，对患者眼部进行常规清洗，并进行扩瞳处理，在眼球表面进行局部麻醉。对照组患者采用超声乳化术进行治疗，观察组患者采用小切口非超声乳化术治疗，对两组患者术前术后各时间点的角膜散光度进行测定并比较，比较术后不同时间视力，观察两组患者并发症发生率。 结果 两组在术前的角膜散光度比较组间数据差异无统计学意义（P>0.05），两组治疗后均随着时间的推移角膜散光度呈下降趋势，术后1周、1个月、3个月的角膜散光度均高于术前，差异有统计学意义（P<0.05）；观察组术后1 d、1周的视力≥0.5的比例明显高于对照组，差异有统计学意义（P<0.05），而两组在1个月、3个月的视力≥0.5的比例无明显差异（P>0.05）；观察组和对照组患者并发症发生率比较组间差异无统计学意义（P>0.05）。 结论 用小切口非超声乳化术和超声乳化术治疗白内障临床治疗效果均较好，并且两种术式的并发症发生率均较低，疗效和并发症发生率比较无较大差异，可根据患者实际情况选择合适的手术方式进行治疗。

[关键词] 小切口非超声乳化术；超声乳化术；白内障

[中图分类号] R779.66 [文献标识码] B [文章编号] 1673-9701（2018）23-0053-04

Comparison of the efficacy between small incision non-phacoemulsification and phacoemulsification in the treatment of cataract

CHANG Li

Department of Ophthalmology， Jiamusi Maternal and Child Health Hospital in Heilongjiang Province， Jiamusi 154002， China

[Abstract] Objective To compare and analyze the clinical effects between non-phacoemulsification and phacoemulsification in the treatment of cataract. Methods A total of 220 patients with cataract who were treated in our hospital from June 2016 to August 2017 were randomly divided into control group and observation group， with 110 patients in each group. Both groups underwent routine preoperative examination after admission. Routine cleaning of the patient's eyes was performed and the pupils were dilated. The local anesthesia on the surface of the eyeball was performed. Patients in the control group were treated with phacoemulsification. Patients in the observation group were treated with small incision non-phacoemulsification. Corneal astigmatism before surgery and at each time point after surgery between two groups was measured and compared. Visual acuity was compared at different times after surgery. Incidence of complications in both groups was observed. Results There was no significant difference in corneal astigmatism between the two groups before operation（P>0.05）. After the treatment， the corneal astigmatism of both groups decreased with time. The degree of corneal astigmatism at 1 week， 1 month， and 3 months after operation was higher than that before surgery，and the difference was significant（P<0.05）. The rate of visual acuity≥0.5 of the observation group at 1 day and 1 week after surgery was significantly higher than that of the control group（P<0.05）. But there was no significant difference in the proportion of visual acuity≥0.5 between the two groups at 1 month and 3 months after surgery（P>0.05）. There was no statistically significant difference in the incidence of complications between the observation group and the control group（P>0.05）. Conclusion The clinical efficacy of small incision non-phacoemulsification and phacoemulsification in the treatment of cataract is good， and the complications of the two surgical procedures are relatively low. There is no significant difference in the efficacy and complication rate. The right surgical treatment can be chosen according to the actual situation of patients.

[Key words] Small incision non-phacoemulsification； Phacoemulsification； Cataract

白内障是较为常见的眼科疾病，在老年人群中多发，病理机制为眼部发生器质性病变，患者会出现视力障碍，如不及时治疗会导致视力明显下降甚至发生失明的可能[1]。随着我国老龄人口数量不断增加，发生白内障的病例数也在不断加大。白内……