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目的探讨小切口白内障囊外摘出人工晶状体植入术与超声乳化白内障吸出硬质人工晶状体植入术两种方法的临床效果。方法分别对80只眼小切口非超声乳化白内障囊外摘出术及68只眼超声乳化硬质人工晶状体植入术的术后视力、角膜内皮丢失率,术中、术后并发症进行比较。结果小切口非乳化组1周后视力≥0.5者59只眼(73.7%),≤0.4者21只眼(26.3%)。超声乳化组≥0.5者54只眼(79.4%),≤0.4者14只眼(20.6%)。角膜内皮丢失率:小切口非超声乳化组13.1%,超声乳化组13.0%。术后角膜内皮水肿:小切口非乳化组6只眼(7.50%),超声乳化组4只眼(5.88%)。结论小切口非超声乳化白内障摘出与超声乳化硬质人工晶状体植入术疗效相似,前者简便、易行、经济,适宜于广大医院开展。
Objective To investigate the clinical effects of small incision extracapsular cataract extraction with intraocular lens implantation and phacoemulsification cataract extraction with hard intraocular lens implantation. Methods The postoperative visual acuity, loss rate of corneal endothelium, intraoperative and postoperative complication of 80 cases with small incision non - phacoemulsification extracapsular cataract extraction and 68 cases with phacoemulsification hard intraocular lens implantation were compared. Results Small incision non-emulsified group had 59 eyes (73.7%) with visual acuity ≥0.5 and 21 eyes (26.3%) ≤0.4 after 1 week. 54 eyes (79.4%) in phacoemulsification group ≥0.5 and 14 eyes (20.6%) ≤0.4. Corneal endothelial loss rate: small incision non-phacoemulsification group 13.1%, phacoemulsification group 13.0%. Corneal endothelium edema was observed in 6 eyes (7.50%) in small incision non-emulsified group and 4 eyes (5.88%) in phacoemulsification group. Conclusion Small incision non-phacoemulsification cataract extraction and phacoemulsification hard intraocular lens implantation similar efficacy, the former is simple, easy and economical, suitable for the majority of hospitals.