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。

AIM:To evaluate the clinical effect of splitting irrigation and aspiration in the process of cataract surgery on removing cortex and soft nuclear.METHODS:Twenty-six cases with non-complicated traumatic cataract hospitalized in the department of ophthalmology in the First Affiliated Hospital of Guangxi Medical University from 2006 to 2007,were assigned to clinical trial group.Data of 26 cases with traumatic cataract from 2004 to 2005 in the same department,which were performed with double-barreled irrigation/aspiration(I/A)cannula,were reviewed and used for control groups.The eligibility of these two groups was similar.RESULTS:Comparing with the double-barreled I/A,in the splitting I/A,the time of cortex/soft nuclear removal was shorter,the numbers of the anterior chamber fluctuation lesser,the postoperative visual better,the inflammatory reaction lighter.CONCLUSION:The utilization of the phacoemulsification I/A system to removal cortex/soft nuclear in traumatic cataract surgery is safe and effective.

R779.66