小切口非超聲乳化白內障摘除術治療硬核白內障的臨床價值體會

鄭艷輝

[摘要] 目的 探討對硬核白內障患者選擇小切口非超聲乳化白內障摘除術治療后獲得的臨床效果。方法 方便選擇該院2017年6月—2019年2月收治的135例硬核白內障患者作為實驗對象;數字奇偶法分組后探究每組手術方式;比照組（67例）：選擇常規手術方式展開白內障治療;實驗組（68例）：選擇小切口非超聲乳化白內障摘除術展開白內障治療;比較兩組硬核白內障患者手術總有效率、角膜散光度以及患眼并發癥情況。結果 實驗組硬核白內障患者手術總有效率（98.53%）高于比照組（80.60%），差異有統計學意義（χ2=11.675 6，P<0.05）;手術前，實驗組硬核白內障患者角膜散光度為（0.46±0.15）°;比照組為（0.47±0.13）°;手術后，實驗組硬核白內障患者角膜散光度為（1.96±0.39）°，比照組為（1.23±0.36）°;手術前，實驗組硬核白內障患者角膜散光度同比照組比較，差異無統計學意義（t=0.413 6，P>0.05）;手術后，實驗組角膜散光度高于比照組，差異有統計學意義（t=11.296 3，P<0.05）;實驗組硬核白內障患眼并發癥發生率（1.47%）低于比照組（13.43%），差異有統計學意義（χ2=7.041 0，P<0.05）。 結論 硬核白內障患者于臨床接受小切口非超聲乳化白內障摘除術治療后，對于提升白內障手術療效，提升角膜散光度以及減少患眼并發癥，效果顯著，最終對于提升硬核白內障患者康復狀態奠定基礎。

[關鍵詞] 小切口非超聲乳化白內障摘除術;硬核白內障;臨床效果

[中圖分類號] R4? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）08（c）-0077-03

[Abstract] Objective To investigate the clinical effects of small incision non-phacoemulsification cataract extraction in patients with hard cataract. Methods A total of 135 patients with hard cataract who were admitted to our hospital from June 2017 to February 2019 were convenient selected as subjects. The digital parity method was used to analyze each group of surgical methods. The comparison group （67 cases）： the routine operation was performed to develop cataract; experimental group （68 cases）： cataract extraction with small incision non-phacoemulsification cataract extraction was performed; total effective rate， corneal astigmatism and ocular complications were compared between the two groups of patients with hard cataract. Results The total effective rate of surgery in the experimental group was 98.53% higher than that in the control group （80.60%），the diffe rence was statistically significant（χ2=11.675 6，P<0.05）. Before surgery， the corneal astigmatism of the experimental group was （0.46±0.15）°， the comparison group was （0.47±0.13）°; after surgery， the corneal astigmatism of the experimental group was （1.96±0.39）° in the hard cataract patients and （1.23±0.36）° in the comparison group; The corneal astigmatism of the experimental group had no statistically significant difference in the corneal astigmatism compared with the control group （t=0.413 6，P>0.05）. After operation， the corneal astigmatism of the experimental group was higher than that of the control group，the diffe rence was statistically significant（t=11.296 3，P<0.05）; The incidence of ocular complications in the experimental group（1.47%） was significantly lower than that in the control group （13.43%），the diffe rence was statistically significant（χ2=7.041 0，P<0.05）. Conclusion After the clinical treatment of small incision non-phacoemulsification cataract extraction， the effect of cataract surgery is improved， the corneal astigmatism is improved and the eye complications are reduced. The effect is obvious， and thus laying the foundation of the rehabilitation status of patients with hard cataract.

[Key words] Small incision non-phacoemulsification cataract extraction; Hard cataract; Clinical effect

對于白內障患者，諸多表現出硬核白內障現象，疾病癥狀主要集中于視力下降以及視力模糊兩方面，更為嚴重患者存在失明可能，從而使得患者工作以及生活受到嚴重影響，并且造成患者的心理壓力[1-2]。就硬核白內障疾病誘因進行分析，主要集中于眼部老化、用眼過度、創傷、眼部感染以及機體營養不良等方面。此種情形下，需要選擇藥物以及手術方法進行治療。但是，只能夠對疾病發展進行控制，難以將患者的眼部系列癥狀進行緩解。其中手術方法的應用，可以確保標本兼治效果獲得充分發揮，但是因為表現出的復雜眼部結構，從而往往會使得患者呈現出角膜受損的現象，對于系列并發癥的出現會表現出誘發作用，對此在實施硬核白內障手術期間，將手術技巧提高具有重要意義[3-4]。……