撕囊镊预劈核在白内障手术中的应用
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Application of the capsulorhexis forceps assisted pre-chop performed in cataract surgery
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    摘要:

    目的:比较预劈核与非预劈核两种劈核方式,探讨撕囊镊预劈核的技术优点。

    方法:将年龄相关性白内障患者149例149眼随机分为预劈核组(A组)77眼和非预劈核组(B组)72眼。分别使用撕囊镊预劈核和非预劈核技术进行白内障超声乳化术,记录术中超声能量、平均超声乳化时间、术中并发症、术后1d,1wk裸眼视力和术后1、3d,1wk角膜水肿等情况并进行比较。

    结果:将两组中同级核硬度的亚组进行比较,A组的平均超声乳化时间低于B组,差异有统计学意义(P<0.05); 且前者术后第1、3d角膜水肿轻于后者,差异有统计学意义(P<0.05),术后1d裸眼视力A组优于B组,差异有统计学意义(P<0.05),术后1wk两组裸眼视力无统计学差异(P>0.05)。术中出现晶状体后囊膜破裂A组2眼(2.6%),B组有3眼(4.2%),两组比较,差异无统计学意义(χ2=0.28,P>0.05)。

    结论:与非预劈核相比,撕囊镊预劈核操作更简便,术中超声时间更短,角膜水肿程度更轻,术后早期裸眼视力更好。

    Abstract:

    AIM: To compare the two techniques of pre-chop and non-pre-chop, and discuss the technical advantages of the capsulorhexis forceps assisted pre-chop.

    METHODS: Totally 149 cases of age-related cataract were randomly divided into using pre-chop(Group A)and non-pre-chop(Group B)techniques groups, for Group A patients received phacoemulsification after pre-chop by using capsulorhexis forceps. The ultrasonic energy, average phacoemulsification time, intraoperative complications, 1d, 1wk uncorrected visual acuity(UCVA)and 1d, 3d,1wk postoperative corneal edema were recorded and compared.

    RESULTS: The subgroups of the same group of nuclei were compared in the two groups. The ultrasonic time in Group A was lower than that of Group B, and the difference was significant(P<0.01). Also the corneal edema in the former was lighter than that of the latter(P<0.05). There was difference in uncorrected visual acuity(UCVA)between groups(P<0.05).

    CONCLUSION: Compared with non-pre-chop, the time of ultrasound in pre-chop group was shorter, the degree of corneal edema was lighter and early postoperative UCVA was better.

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王文海,魏思东,赵莉.撕囊镊预劈核在白内障手术中的应用.国际眼科杂志, 2017,17(9):1762-1764.

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  • 收稿日期:2017-04-19
  • 最后修改日期:2017-07-25
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  • 在线发布日期: 2017-08-22
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