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目的 通过比较非超乳小切口囊外白内障摘除术 (ECCE)与超声乳化白内障吸除术 ,探讨更适合中国国情的手术方法。方法 随机抽取 10 0例白内障患者 ,其中非超乳小切口手术 37例 ,超声乳化吸除术 6 3例。对比观察两种手术的术中并发症、内皮细胞术中丢失率、术前及术后前房蛋白定量分析、术后患者满意度以及手术成本。结果 非超乳小切口囊外白内障摘除术及超声乳化白内障吸除术在手术中并发症以及术后视力、角膜内皮丢失率、前房蛋白定量和患者满意度在远期均无显著差异 ,而手术成本小切口ECCE明显低于超声乳化吸除术。结论 非超乳小切口ECCE手术更适合中国国情。
Objective To compare the surgical treatment of extracapsular cataract extraction (ECCE) with phacoemulsification and non-phacoemulsification cataract extraction. Methods A total of 10 cases of cataract patients were randomly selected, including 37 cases of non-super-small breast incision and 63 cases of phacoemulsification. The intraoperative complications, the rate of intraoperative loss of endothelial cells, the quantitative analysis of preoperative and postoperative anterior chamber protein, the postoperative satisfaction of patients and the cost of surgery were compared between two kinds of surgery. Results There were no significant differences in postoperative complications, postoperative visual acuity, loss of corneal endothelium, anterior chamber quantitative protein and patient satisfaction in non-super small breast small incision extracapsular cataract extraction and phacoemulsification cataract surgery Small incision ECCE was significantly lower than phacoemulsification. Conclusion Non-super-small incision ECCE surgery is more suitable for China’s national conditions.