本文選題：注水圈套器娩核法 + 前房?jī)?nèi)劈核法　； 參考：《現(xiàn)代預(yù)防醫(yī)學(xué)》2014年19期

【摘要】：目的評(píng)價(jià)注水圈套器娩核法、水壓娩核法和前房?jī)?nèi)劈核法三種不同娩核方式在小切口非超乳白內(nèi)障手術(shù)中應(yīng)用的特點(diǎn)和療效。方法對(duì)327例(327眼)老年性白內(nèi)障患者,隨機(jī)分成三組,分別通過(guò)注水圈套器娩核法、水壓娩核法和前房?jī)?nèi)劈核法完成娩核過(guò)程,觀察記錄娩核時(shí)間、術(shù)中并發(fā)癥、術(shù)后d 1角膜內(nèi)皮水腫程度及術(shù)后視力,統(tǒng)計(jì)學(xué)處理差異。結(jié)果娩核時(shí)間:注水圈套器娩核法平均時(shí)間45 s、水壓娩核法平均時(shí)間34 s和前房?jī)?nèi)劈核法平均時(shí)間65 s,三組的平均娩核時(shí)間差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。注水圈套器娩核法和前房?jī)?nèi)劈核法的并發(fā)癥主要表現(xiàn)為虹膜損傷和后囊膜破裂;水壓娩核法則主要表現(xiàn)為前房出血。統(tǒng)計(jì)學(xué)分析,角膜水腫0~1級(jí)者:A組與B組、B組與C組差異均有統(tǒng)計(jì)學(xué)意義(P0.05),A組與C組統(tǒng)計(jì)學(xué)處理差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后1 d視力:A組與C組、B組與C組差異均有統(tǒng)計(jì)學(xué)意義(P0.05),術(shù)后7 d視力:只有B組與C組差異有統(tǒng)計(jì)學(xué)意義(P0.05),術(shù)后1mo視力:三組間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論水壓娩核法術(shù)中并發(fā)癥少,術(shù)后d 1角膜內(nèi)皮水腫發(fā)生率低,更適用于Ⅳ級(jí)以下的核娩出;前房?jī)?nèi)劈核法對(duì)Ⅳ級(jí)以上核的處理優(yōu)勢(shì)是明顯的。
[Abstract]:Objective to evaluate the characteristics and efficacy of three different methods of nucleus delivery in small incision non-supermammary cataract surgery with water injection trap delivery method, water pressure nuclear delivery method and anterior chamber nucleus splitting method. Methods 327 cases (327 eyes) of senile cataract were randomly divided into three groups. The nuclear delivery process was completed by the method of water injection trap, water pressure and nucleus splitting in anterior chamber, and the time of nucleus delivery and complications during operation were observed and recorded. The degree of corneal endothelium edema and postoperative visual acuity were significantly different on postoperative day 1. Results the mean time of nucleus delivery: the average time of nucleus delivery with water trap method was 45 s, the average time of nuclear delivery method with water pressure method was 34 s and the average time with nucleus splitting method in anterior chamber was 65 s. There was significant difference in average nuclear delivery time among the three groups (P0.05). The complications of injection trap delivery method and anterior chamber nucleus splitting method were mainly iris injury and posterior capsule rupture, while the rule of water pressure nuclear delivery was anterior chamber hemorrhage. Statistical analysis showed that there was significant difference between group A and group B and group C (P0.05). There was no significant difference between group A and group C (P0.05). The visual acuity of group A and group C were significantly higher than that of group C at 1 day after operation (P0.05). The visual acuity of group B and group C had statistical significance at 7 days after operation (P0.05). The visual acuity of postoperative 1mo: there was no significant difference among the three groups (P0.05). Conclusion the incidence of corneal endothelial edema is low on the first day after operation, and it is more suitable for nuclear delivery under grade 鈪，

本文編號(hào)：2059939