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目的:探讨利用超声乳化仪上的灌注/抽吸系统对外伤性白内障采取分体注吸的方式吸除皮质和软核质的临床效果。方法:前瞻性纳入2006/2007年在广西医科大学第一附属医院眼科住院的非复杂性外伤性白内障患者26例26眼作为试验组。回顾2004/2005年在该科住院施行双腔管术式的外伤性白内障病例26例26眼临床资料作为对照组,两组入选条件相近。结果:相对双腔管灌注/抽吸组,分体注吸组术中抽吸平均时间短、前房涌动次数少,术后最佳矫正视力较好、炎性反应较轻,差异有统计学意义(均P<0.05)。结论:利用超声乳化仪进行分体注吸,吸除外伤性白内障皮质和软核质安全而有效。
OBJECTIVE: To investigate the clinical effect of using the phacoemulsification system perfusion / aspiration system on traumatic cataract by taking a separate injection of cortical and soft nuclei. METHODS: Twenty-six patients (26 eyes) with non-complex traumatic cataract who were hospitalized in ophthalmology department of Guangxi Medical University from January 2006 to January 2007 were prospectively enrolled in this study. Recalling 26 cases of 26 cases of traumatic cataract who underwent double-lumen tube surgery in this department in 2004/2005, the clinical data of the two groups were selected as the control group. Results: Compared with the double-lumen tube perfusion / aspiration group, the mean duration of suction during split-suction group was shorter, the anterior chamber surging frequency was less, the best corrected visual acuity was better, the inflammatory reaction was lighter, the difference was statistically Significance (both P <0.05). Conclusion: It is safe and effective to use the phacoemulsification instrument to separate and inhale traumatic cataract and soft nucleus.