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目的:探讨应用手法小切口白内障摘除术的效果和安全性。方法:回顾性分析我院2006年2月～2010年2月收治的老年白内障患者120例,根据手术方式分为两组,超声乳化吸除术(Phaco)组60例,手法小切口白内障摘除术(MSICS)组60例,比较术后视力和并发症的种类及发生率。结果:Phaco组视力≥0.3者58例(96.67%),核硬度≤Ⅲ者后囊膜破裂玻璃体脱出发生2例(5.41%),角膜水肿发生8例(21.62%),核硬度≥Ⅳ者后囊膜破裂玻璃体脱出2例(11.11%),角膜水肿12例(66.67%);MSICS组视力≥0.3者57例(95.00%),核硬度≤Ⅲ者后囊膜破裂玻璃体脱出2例(4.08%),角膜水肿9例(18.37%),核硬度≥Ⅳ者后囊膜破裂玻璃体脱出1例(5.56%),角膜水肿3例(18.75%)。两组比较,差异有统计学意义(P<0.05)。结论:采用Phaco或MSICS两种小切口方法进行批量白内障复明手术;对于核硬度≥Ⅳ的白内障,MSICS手术安全性高于Phaco手术。
Objective: To investigate the effect and safety of small incision cataract extraction using the technique. Methods: A retrospective analysis of 120 cases of senile cataract admitted from February 2006 to February 2010 in our hospital was divided into two groups according to the operation method. Phaco group (60 cases) and manual small incision cataract extraction (MSICS) group of 60 cases, comparison of postoperative visual acuity and complications of the type and incidence. Results: In Phaco group, 58 cases (96.67%) had visual acuity of ≥0.3, two cases (5.41%) had posterior capsule rupture with vitreous prolapse, eight cases (21.62%) had corneal edema, There were 2 cases (11.11%) with corneal edema in 12 cases (66.67%), 57 cases (95.00%) with visual acuity ≥0.3 in MSICS group and 2 cases (4.08% ), 9 cases (18.37%) of corneal edema, 1 case (5.56%) with posterior capsular rupture and 3 cases (18.75%) with corneal edema. The difference between the two groups was statistically significant (P <0.05). Conclusion: Phaco or MSICS two small incision methods for batch cataract surgery; for nuclear hardness ≥ Ⅳ cataract, MSICS surgical safety than Phaco surgery.