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目的分析不同切口超声乳化术在白内障患者临床治疗期间的应用效果。方法选择2015年5月—2016年12月期间该院眼科收诊的30例白内障患者,参照超声乳化术切口方法的差异性分为(1)组(角膜切口组)与(2)组(角巩膜缘切口组)各15例。对比两组患者术后切口修复时间与术后散光度。结果 (2)组的上皮以及切口的修复时间都短于(1)组,差异都有统计学意义(P<0.05);(2)组患者术后1、7、14d后泪液分泌量以及泪膜破裂时间显著好于(1)组,数据差异有统计学意义(P<0.05);(2)组术后1、2、4周手术源性角膜散光度及平均角膜散光度都低于(1)组,均差异有统计学意义(P<0.05)。结论超声乳化术角巩膜缘切口在超声乳化术中的应用,与角膜切口相比较应用价值更大,一方面能减轻手术对白内障患者的创伤、降低患者术后散光度,另一方面也能提升患者术后视力水平,角巩膜缘切口值得在白内障患者临床治疗中普及与应用。
Objective To analyze the effect of different incision phacoemulsification in cataract patients during clinical treatment. Methods Thirty cataract patients undergoing ophthalmology in our hospital from May 2015 to December 2016 were divided into (1) group (corneal incision group) and (2) group according to the difference of phacoemulsification incision method Scleral margin incision group) of 15 cases. The incision repair time and postoperative astigmatism were compared between the two groups. Results (2) The epithelium and incision repair time were shorter than (1) group, the difference was statistically significant (P <0.05); (2) The amount of tear secretion and tear (2) The surgical corneal astigmatism and mean corneal astigmatism at 1, 2 and 4 weeks after operation were all lower than those in group (1), the difference was statistically significant (P <0.05) 1) group, the differences were statistically significant (P <0.05). Conclusion The application of phacoemulsification limbal incision in phacoemulsification is more valuable than corneal incision, which can reduce trauma to cataract patients and reduce postoperative astigmatism degree on the one hand, and enhance the other Patients with postoperative visual acuity, angle scleral incision deserved popularity in the clinical treatment of cataract patients and applications.