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目的:探讨小切口非超声乳化与超声乳化治疗老年性硬核白内障的疗效,对手术方法进行评价。方法:将120例无糖尿病、年龄70~91岁、IV~V级硬核白内障患者随机分为小切口非超声乳化与超声乳化两组,所有患者均植入硬性人工晶体,比较两组术中、术后并发症及术后1周、1月的视力。结果:两种方法手术均在25min内完成、术后矫正视力无明显差异(P>0.05),小切口非超声乳化手术术中并发症少,其术后并发症中角膜水肿、前房反应方面明显轻于超声乳化组(P<0.05)。结论:小切口非超声乳化手术治疗老年性硬核白内障具有损伤小,术后视力恢复好,且经济、安全、实用。
Objective: To investigate the curative effect of small incision non-phacoemulsification and phacoemulsification in the treatment of senile hard cataract and to evaluate the surgical methods. Methods: 120 cases of non-diabetic, age 70-91 years, IV ~ V grade cataract patients were randomly divided into small incision non-phacoemulsification and phacoemulsification two groups, all patients were implanted with hard intraocular lens, the two groups were compared , Postoperative complications and 1 week after surgery, visual acuity in January. Results: The two methods were completed within 25min, there was no significant difference in postoperative corrected visual acuity (P> 0.05). Small incision phacoemulsification surgery less complications, postoperative complications of corneal edema, anterior chamber reaction Obviously lighter than phacoemulsification group (P <0.05). Conclusion: Small incision non-phacoemulsification surgery for the treatment of senile hard cataract has less damage, good visual acuity recovery, and economical, safe and practical.