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目的观察小切口白内障囊外摘除术联合后房型人工晶体植入术治疗糖尿病代谢性白内障的临床效果。方法 160例(160眼)糖尿病代谢性白内障患者,采取数字随机法分成观察组和对照组,各80例(80眼)。观察组采取小切口白内障囊外摘除术联合后房型人工晶体植入术治疗,对照组采取常规白内障囊外摘除术联合后房型人工晶体植入术治疗,比较两组临床效果。结果观察组患者术后7 d、1个月、3个月的视力恢复水平优于对照组,差异均有统计学意义(P<0.05)。观察组患者术后7 d、1个月、3个月的角膜散光水平低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为10.00%,对照组为36.25%,观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论小切口白内障囊外摘除术联合后房型人工晶体植入术治疗糖尿病代谢性白内障的临床效果显著,较传统手术方法更好,对患者有利,具有推广价值。
Objective To observe the clinical effect of small incision extracapsular cataract extraction combined with posterior chamber intraocular lens implantation in the treatment of diabetic metabolic cataract. Methods 160 patients (160 eyes) with metabolic cataract were divided into observation group (80 cases) and control group (80 eyes) by digital random method. The observation group was treated with small incision extracapsular cataract extraction combined with posterior chamber intraocular lens implantation. The control group was treated by conventional extracapsular cataract extraction combined with posterior chamber intraocular lens implantation. The clinical effects were compared between the two groups. Results In the observation group, the visual acuity recovery levels at 7 days, 1 month and 3 months after operation were better than those in the control group (P <0.05). The level of corneal astigmatism in observation group at 7 days, 1 month and 3 months after operation was significantly lower than that in control group (P <0.05). The incidence of complications in the observation group was 10.00% and in the control group was 36.25%. The complication rate in the observation group was lower than that in the control group (P <0.05). Conclusion Small incision extracapsular cataract extraction combined with posterior chamber intraocular lens implantation in the treatment of diabetic metabolic cataract has a significant clinical effect, which is better than the traditional surgical methods and is beneficial to the patients and has the promotion value.