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为探索适合糖尿病病人白内障手术治疗的方法，随机抽查超声乳化白内障摘除加人工晶体植入术（简称ＰＨＡＣＯ）治疗糖尿病病人及非糖尿病病人白内障各６０人，常规白内障囊外摘除加人工晶体植入术（简称ＥＣＣＥ）治疗的糖尿病人及非糖尿病人白内障各６０人共２４０人分４组。其中，白内障２～３级核者采用ＰＨＡＣＯ术式，４～５级核者采用ＥＣＣＥ术式，观察时间为术后３０天。比较各组的术后并发症发生机率、术后视力恢复情况。结果：ＰＨＡＣＯ术式两组的术后并发症明显低于ＥＣＣＥ两组，术后视力恢复第１～７天以ＰＨＡＣＯ两组为佳；术后第３０天以非糖尿病人两组为佳。结论：ＰＨＡＣＯ术式术后并发症少，视力恢复快，尤其对糖尿病人白内障较ＥＣＣＥ有明显的优势。
In order to explore a suitable method for cataract surgery in patients with diabetes mellitus, randomly selected phacoemulsification cataract extraction combined with artificial lens implantation (referred to as PHACO) in the treatment of diabetic patients and non-diabetic patients with 60 cataracts, conventional cataract extraction and intraocular lens implantation (ECCE) treatment of diabetes and non-diabetic cataracts 60 each a total of 240 people divided into 4 groups. Among them, cataract 2 ~ 3 nuclear using PHACO surgery, 4 ~ 5 nuclear using ECCE surgical observation time was 30 days after surgery. The incidence of postoperative complications and visual acuity recovery were compared between the groups. Results: The postoperative complications in PHACO group were significantly lower than those in ECCE group. PHACO group was the best on the 1st to 7th day after the operation. The 30th day after operation was the best in both groups. Conclusion: PHACO surgery less postoperative complications, rapid visual acuity recovery, especially for diabetic cataract ECCE have obvious advantages.