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齐立平,尹素莹.白内障针拨套出术与冷冻摘出术临床疗效初步观察[J].中国中西医结合杂志,1984,(2):93-94,67
白内障针拨套出术与冷冻摘出术临床疗效初步观察
Preliminary Observation on Clinical Curative Effects of Couch-Netting and Cryoextraction of Cataract
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中文关键词:  白内障  摘出术  矫正视力  玻璃体混浊  针拨  冷冻  显著差异  玻璃体出血  追踪观察  瞳孔上移
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作者单位
齐立平 北京积水潭医院眼科 
尹素莹 北京积水潭医院眼科 
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中文摘要:
      本文报告了白内障针拨套出术与冷冻摘出术各40眼的初步疗效对比。针拨套出术近期、远期矫正视力均比摘出术效果好,P<0.05,绝大部分瞳孔保持圆形,值得推广和应用。
英文摘要:
      The couch-netting of cataract is an operative treatment by means of combined TCM-WM.It has the following advantages:the incision is small,visual acruity can be better corrected,and the pupil can be maintained as round as possible.The thesis herein describes a comparative observation on clinical curative effects of couch-netting and cryoextraction(40 eyes each).The patients have been followed up regularly for more than one year. Results:7-14 days after the operation,there were 14 eyes(36.8%)in the group under couch- netting operation reaching 0.5 on the Snellen’s test chart(corrected vision),while in the group under cryoextraction operation,only 3 eyes(10.0%)reached that standard.1-2 years after the operation,22 eyes(84.6%)in the group under couch-netting operation reached 0.9 on the Snellen’s test chart,but only 9 eyes(34.6%)in the cryoextraction operation group reached that standard.There were remarkable differences between the two groups(P<0.05). During the couch-netting operation,the percentage of vitreous body loss(small amount)was relatively high(12 eyes,30.0%),but the author never saw any other harmful effects brought in by the operation.It is frequently observed that the operated eyes suffered vitreous opacity after operation(15 eyes,37.5%)because of blood streaks in the vitreous body,pigment iris, and broken cortices of lens.But these things will be absorbed as time goes on.
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