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飞秒激光辅助白内障超声乳化手术的临床效果(1)
http://www.100md.com 2019年1月15日 《中国当代医药》 2019年第2期
     [摘要]目的 探討飞秒激光辅助白内障超声乳化手术的临床效果。方法 选择2016年10月~2017年10月我院收治的60例(64眼)白内障患者作为研究对象,以计算机随机分组分为常规组和实验组,每组30例(32眼)。常规组给予常规白内障超声乳化手术治疗,实验组给予飞秒激光辅助白内障超声乳化手术治疗,比较两组患者的术中相关指标、术后裸眼视力>0.5的情况及术后人工晶状体偏移发生率。结果 实验组患者的前囊切开直径短于常规组,囊膜环形张力高于常规组,囊膜小于常规组,差异均有统计学意义(P<0.05);实验组患者术后1、6个月裸眼视力>0.5的情况高于常规组及术后1 d,差异均有统计学意义(P<0.05);实验组术后1 d,术后1、6个月的人工晶状体偏移发生率低于常规组,差异有统计学意义(P<0.05);实验组患者术后1、6个月的人工晶状体偏移发生率高于术后1 d,差异有统计学意义(P<0.05)。结论 对白内障患者给予飞秒激光辅助白内障超声乳化手术进行治疗,能改善患者术中相关指标情况,提高患者的视力水平,降低术后人工晶状体偏移的发生情况,值得临床推广应用。

    [关键词]白内障;超声乳化;飞秒激光;手术

    [中图分类号] R776.1 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0140-03

    [Abstract] Objective To explore the clinical effect of femtosecond laser-assisted phacoemulsification for cataract. Methods Sixty cases (64 eyes) of cataract patients admitted to our hospital from October 2016 to October 2017 were selected as the research objects, they were randomly divided into conventional group and experimental group, 30 cases (32 eyes) in each group. Conventional cataract phacoemulsification was performed in the conventional group, and femtosecond laser-assisted phacoemulsification was performed in the experimental group, relevant intraoperative indicators, naked visual acuity >0.5 and the incidence of intraocular lens deviation were compared between the two groups. Results The diameter of anterior capsulotomy in the experimental group was shorter than that in the conventional group, the ring tension of the capsule was higher than that in the conventional group, and the size of the capsule was smaller than that in the conventional group, the differences were statistically significant (P<0.05). The naked visual acuity >0.5 in the experimental group was higher than that in the routine group and 1 day after operation, the differences were statistically significant (P<0.05). The incidence of intraocular lens deviation in the experimental group was lower than that in the conventional group 1 day and 1 month and 6 months after operation, the difference was statistically significant (P<0.05). The incidence of intraocular lens deviation was higher in the experimental group 1 and 6 months after operation than that in the 1 day after operation, and the difference was statistically significant (P<0.05). Conclusion Femtosecond laser-assisted phacoemulsification for cataract patients can improve the related indicators, improve the visual acuity level of patients, and reduce the incidence of intraocular lens deviation. It is worthy of clinical application., 百拇医药(刘晓军 陈润连 邓钜良 刘焕泰)
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