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目的比较白内障超声乳化摘除和小切口无缝线囊外摘除的疗效。对108例明显白内障患者进行前瞻性,随机比较。方法设备:显微眼外科扶贫诊所;病人:108例白内障病人随机接受白内障超声乳化摘除和小切口无缝线囊外摘除;并植入白内障手术植入人工晶体;主要检测:手术时间、手术并发症、术后视力和最好矫正视力、散光、中央角膜水肿情况。结果两种手术都有很好的手术效果而且并发症少。术后第一天,两组病例的未矫正视力无显著性差异(=0.185),而小切口组的角膜水肿发生率要低于超乳组(=0.0039)。六个月后,小切口组有89%病人未矫正视力达到20/60以上,98%病人的最好矫正视力达到20/60以上,而超乳组,这两个比例未85%和98%,两者无统计学上差异(=0.30)。在手术时间上,小切口的手术时间明显少于超乳组,二者有统计学上差异(<0.0001)。结论小切口和超乳都有很好的手术效果和低并发症。两者相比。小切口手术更快、费用低、对技术要求低。因此,小切口白内障摘除是治疗发展中国家成熟白内障的有效治疗方法。
Objective To compare the efficacy of phacoemulsification and small incision sutureless extracapsular cataract extraction. 108 prospective, cataract patients were prospective, randomized comparison. Methods and equipment: Microsurgery-assisted clinic; Patients: 108 cataract patients undergoing cataract phacoemulsification and small incision sutureless extracapsular cataract extraction; and implantation of intraocular lens implantation in cataract surgery; major tests: operation time, surgical complications Symptoms, postoperative visual acuity and best corrected visual acuity, astigmatism, central corneal edema situation. The results of both operations have a good surgical results and fewer complications. On the first postoperative day, there was no significant difference in uncorrected visual acuity between the two groups (= 0.185), while the incidence of corneal edema in the small incision group was lower than that in the phacoemulsification group (= 0.0039). Six months later, 89% of the patients in the mini-incision group had an uncorrected visual acuity of 20/60 or more, 98% of the patients had a best corrected visual acuity of 20/60 or more, and 85% and 98% , No significant difference between the two (= 0.30). In terms of operation time, the operation time of small incision was significantly less than that of phacoemulsification group, there was a statistically significant difference (<0.0001). Conclusion Small incision and super-milk have good surgical results and low complications. Compared to both. Small incision surgery faster, lower cost, low technical requirements. Therefore, small incision cataract extraction is an effective treatment for mature cataract in developing countries.