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目的：探讨老年性白内障采用小切口白内障囊外摘除术与超声乳化治疗的临床效果。方法选取荥阳市人民医院眼科2013年11月至2014年11月收治的老年性白内障患者100例，随机分为小切口白内障囊外摘除术组（A 组）与超声乳化治疗组（B 组），每组50例。比较两组治疗效果。结果 B 组术后3 d 视力恢复良好率优于 A 组（P 0.05），且随时间延长，两组视力恢复良好率均呈上升趋势（P 0.05）。两组术前角膜内皮细胞交角形细胞比率、细胞密度术前比较差异未见统计学意义（P >0.05），术后B 组两项指标下降幅度均低于 A 组（P 0. 05). There was no significant difference in preoperative corneal endothelial cell cross angular cell ratio,cell density between the two groups(P >0. 05),the two indicators were lower after operation in group B than that in group A(P <0. 05). Conclusions Cataract with small incision extracapsular cataract extraction,com-pared with phacoemulsification surgery,there are basically similar long-term effect and it has advantages of low operation cost,simple,safe and effective application in basic hospital and cataract project more obviously.