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                  [1]歐陽先明,李莉,張睿,等. 不同超聲乳化術式治療超高度近視并發白內障的療效分析[J].眼科新進展,2015,35(9):854-857.[doi:10.13389/j.cnki.rao.2015.0233]
                   OU-YANG Xian-Ming,LI Li,ZHANG Rui,et al. Different phacoemulsification for super high myopia complicated with cataract[J].Recent Advances in Ophthalmology,2015,35(9):854-857.[doi:10.13389/j.cnki.rao.2015.0233]
                  點擊復制

                   不同超聲乳化術式治療超高度近視并發白內障的療效分析
                  分享到:

                  《眼科新進展》[ISSN:1003-5141/CN:41-1105/R]

                  卷:
                  35卷
                  期數:
                  2015年9期
                  頁碼:
                  854-857
                  欄目:
                  應用研究
                  出版日期:
                  2015-09-05

                  文章信息/Info

                  Title:
                   Different phacoemulsification for super high myopia complicated with cataract
                  作者:
                   歐陽先明李莉張睿覃郁
                   556000 貴州省凱里市,貴州省黔東南侗族苗族自治州人民醫院眼科
                  Author(s):
                   OU-YANG Xian-Ming LI Li ZHANG RuiQIN Yu
                   Department of Ophthalmology,the Hospital of Qiandongnan Autonomous Prefecture for Miao and Dong lVationalities of Guizhou Province. Kaili 556000, Guizhou Province. China
                  關鍵詞:
                   超高度近視白內障超聲乳化
                  Keywords:
                   super high myopia cataract phacoemulsification
                  DOI:
                  10.13389/j.cnki.rao.2015.0233
                  文獻標志碼:
                  A
                  摘要:
                   目的 比較囊膜上超聲乳化和囊袋內原位超聲乳化治療超高度近視并發白內障的臨床療效。方法 選擇2012年2月至2014年6月我院眼科住院的超高度近視合并白內障患者137例(167眼),隨機分成囊膜上組69例(86眼)采用囊膜上超聲乳化治療,囊袋內組68例(81眼)采用囊袋內原位超聲乳化治療。比較兩組患者手術的超聲能量參數、術后裸眼視力及最佳矯正視力、角膜內皮細胞密度以及并發癥的發生情況。兩組患者術后均隨訪3~6個月。結果 囊袋內組核硬度Ⅱ、Ⅲ、Ⅳ級實際超聲乳化時間分別為(31.98±3.74)s、(81.23±5.58)s和(142.87±7.53)s;囊膜上組核硬度Ⅱ、Ⅲ、Ⅳ級分別為(14.84±2.74)s、(21.44±3.85)s和(74.89±5.97)s。囊袋內組核硬度Ⅱ、Ⅲ、Ⅳ級超聲能量分別為(18.71±3.42)%、(25.49±3.91)%和(33.39±4.12)%;囊膜上組核硬度Ⅱ、Ⅲ、Ⅳ級對應為(9.04±2.05)%、(11.28±2.52)%和(18.96±3.79)%。囊袋內組核硬度Ⅱ、Ⅲ、Ⅳ級實際超聲乳化時間和超聲能量分別與囊膜上組核硬度同級比較,差異均有統計學意義(均為P<0.01)。囊袋內組術后1d裸眼視力及術后1個月最佳矯正視力分布情況與囊膜上組比較,差異均無統計學意義(均為P>0.05)。且囊袋內組Ⅱ、Ⅲ、Ⅳ級患者角膜內皮細胞密度分別與囊膜上組核硬度同級患者比較,差異也均無統計學意義(均為P>0.05)。囊膜上組術中并發癥發生率為4.65%,囊膜內組為13.58%,兩組比較差異有統計學意義(P<0.01)。結論 囊膜上超聲乳化治療超高度近視并發白內障術后視力及對角膜內皮細胞的損傷程度與囊袋內超聲乳化基本一致,但明顯減少了術中并發癥的發生,手術更安全。
                  Abstract:
                   Objective To compare the clinical effects of capsule membrane phacoemulsification and capsular bag in situ phacoemulsification for super high myopia complicated with cataract. Methods A total of 137 patients ( 167 eyes) with super high myopia complicated with cataract hospitalized in our hospital from February 2012 to June 2014 were chosen and randomly divided into capsule membrane group with 69 patients ( 86 eyes) , who adopt capsule membrane phacoemulsification , as well as capsular bag group with 68 patients ( 81 eyes) ,who adopt capsular bag in situ phacoemulsification. The ultrasonic energy parameters , postoperative uncorrected visual acuity ( UCVA) .best corrected visual acuity ( BCVA) . corneal endothelial cell density and occurrence of complications in two groups were compared. The two groups ’ patients were followed up for 3 - 6 months. Results The actual phacoemulsification time in patients with nucleus hardness graded II , III and ly in capsular bag group were ( 31. 98 + 3. 74 ) s, (81. 23 + 5. 58) s and ( 142. 87 + 7. 53 ) s, respectively, which in capsule membrane group were (4. 84 +2. 74) s. ( 21. 44 + 3. 85 ) s and ( 74. 89 + 5. 97 ) s , respectively ; The average ultrasonic energy in patients with nucleus hardness graded II . III and lV in capsular bag group were ( 18. 71 + 3. 42 ) % , ( 25 . 49 + 3. 91 ) % and ( 33. 39 + 4. 12 ) % , respectively , which in capsule membrane group were ( 9. 04 + 2. 05 ) % . ( 11. 28 + 2. 52 ) % and ( 18. 96 + 3. 79 ) % , respectively; The differences were statistical significant ( all P < 0. 01). Compared with capsule membrane group, there was no statistical difference in UCVA at postoperative I day and BCVA at postoperative l month of capsular bag group ( all P > 0. 05 ) . In addition . compared with capsule membrane group , there was no statistical difference in corneal endothelial cell density in patients with nucleus hardness graded II, III and lV of capsular bag group ( all P > 0. 05 ) . The incidence of intraoperative complication in capsule membrane group was 4. 65% ,which in capsular bag group was 13. 58% , the difference was statistical significant (P < 0. 01) . Coriclrision It is basically same in postoperative vision and damage degree to corneal endothelial cells between capsule membrane phacoemulsification and capsular bag phacoemulsification for super high myopia complicated with cataract.but the former sigruficantly reduce the occurrence of intraoperative complications , so the surgery is safer.

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                  [2]聶曉麗 劉蘇冰 左志高 尹黎 馬寧 江紅玲.超高度近視患者ICL植入后對比敏感度及像差的變化[J].眼科新進展,2012,32(11):000.
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                  備注/Memo

                  備注/Memo:
                   貴州省黔東南苗族侗族自治州科技局科研課題基金資助(編號:2012J31101)
                  更新日期/Last Update: 2015-08-31
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