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1、小切口非超聲乳化白內(nèi)障手術(shù)的臨床應(yīng)用[摘要]目的:探討小切口非超聲乳化白內(nèi)障手術(shù)的臨床療效。方法:木科在2008年1月?2009年12月對(duì)38例白內(nèi)障患者采取小切口非超聲乳化白內(nèi)障手術(shù),觀察術(shù)后并發(fā)癥發(fā)生率、術(shù)后視力恢父和術(shù)后散光情況。結(jié)果:術(shù)后7眼(1&42%)出現(xiàn)并發(fā)癥,經(jīng)處理后恢復(fù)或白行恢復(fù),未引起不良后果?;颊咝g(shù)前視力:4眼眼前手動(dòng),3眼眼前指數(shù),18眼0.02?0.10,13眼0.1?0.5,術(shù)后3個(gè)月裸眼視力24眼在1.0以上,14眼為0.5?0.9,患者術(shù)麻視力提高顯著(P<0.05),養(yǎng)異有統(tǒng)計(jì)學(xué)意義。術(shù)
2、后1周散光與術(shù)前比較,差異有統(tǒng)計(jì)學(xué)意義(P〈0.05),術(shù)后3個(gè)月與術(shù)前比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)?結(jié)論:小切口非超聲乳化白內(nèi)障手術(shù)切口小,術(shù)后并發(fā)癥少,術(shù)后視力恢復(fù)好,有效減少了術(shù)后散光,在選好病例的基礎(chǔ)上,是白內(nèi)障手術(shù)一種行Z有效的方法,值得臨床推廣應(yīng)用。[關(guān)鍵詞]小切口;非超聲乳化;白內(nèi)障手術(shù);臨床應(yīng)用[中圖分類號(hào)]R776.1[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)11674-4721(2011)07(c)-043-02Clinicalapplicationofphacoemu1sificationsmallinc
3、isioncataractsurgeryTANGMeixiangTheFirstPeople7sHospitalofHengyangCity,HunanProvince,Hengyang421002,China[Abstract]Objective:Toevaluatetheclinicalefficacyofsmallincisionnon-phacoemulsificationemulsificationcataractsurgery.Methods:Wetreatedthe38casesinourdepartmen
4、tfromJanuary2008toDecember2009periodwithsmal1incisioncataractphacoemu1sificationcataractsurgery,observedtherateofpostoperativecomplications,postoperativevisualacuityandpostoperativeastigmatism?Results:Therewere7eyes(18?42%)complicationsaftertheoperation,theywerer
5、estoredaftertreatmentorspontaneousrecovery,preoperative4manual,three0.1-0.5,after3months,24postoperativevisualacuitysignificance?After1weeknoadverseconsequences.Theimmediateimmediateindex,18eyeswere0.02-0.10,13eyewereeyesvisualacuityabove1.0,0?5一0?9in14eyes,impro
6、vedsignificantly(P〈0?05),withstatisticalcomparedwithpreoperativeastigmatism,ithadasignificantdifference(P<0.05),after3monthscomparedwiththosebefore,therenosignificantdifference(P>0.05).Conelusion:Smallincisionnon-phacoemulsificationiswithsmallincision,lesspostope
7、rativecomplications,postoperativevisualacuityisgood,effectivelyreducethepostoperativeastigmatism,inselectedpatientscasebasis,isaneffectivemethodofcataractsurgery,itisworthtoclinicalapplication.[Keywords]Smal1incision;Non-phacoemulsification;Cataractsurgery;Clinic
8、alapplication白內(nèi)障是眼科常見的一種致盲性眼病,它是由于晶狀體發(fā)生退行性改變或多種原因引起其混濁從而影響視網(wǎng)膜成像,導(dǎo)致視力下降的i種臨床多發(fā)病,多見于50歲以上的中老年人,也稱老年性H內(nèi)障[1]。自20世紀(jì)60年代美國(guó)的KELMAX醫(yī)生發(fā)明了超聲乳化儀麻,片內(nèi)障超聲乳化技術(shù)在近幾十年來(lái)越來(lái)越趨于成熟,使