原创《白内障合并高度近视应用改良超声乳化手术的临床疗效分析》：此文是一篇高度近视论文范文,为你的毕业论文写作提供有价值的参考。
[摘 要] 目的 探討改良超声乳化术治疗白内障合并高度近视的临床疗效.方法 采取方便抽样法抽取100例（共计108患眼）于2010年6月—2016年6月期间来该院治疗的白内障合并高度近视患者,以随机数字表法分为两组,观察组和对照组,观察组50例患者共计53患眼,对照组50例患者共计55患眼.观察组患者采取改良超声乳化术进行治疗,对照组患者采取传统超声乳化术进行治疗.观察对比两组患者术后不同时间段视力测量值<0.1的发生率、治疗前后的角膜内皮细胞计数变化情况及术后并发症发生率. 结果 观察组患者术后7 d及术后1个月时视力测量值<0.1的发生率,均与对照组患者相当,以上比较差异无统计学意义（P>0.05）.两组患者均在术后3个月视力恢复到0.1以上.观察组和对照组患者术前的角膜内皮细胞计数相当,比较差异无统计学意义（P>0.05）；观察组和对照组患者术前的角膜内皮细胞计数分别为（2 795.7±395.1）、（2 797.5±397.5）,比较差异无统计学意义（P>0.05）；观察组术后1月时角膜内皮细胞计数为（2 407.2±520.6）,较治疗前有所下降,但仍高于对照组的（2 105.4±511.7）,比较差异有统计学意义（P<0.05）；观察组和对照组术后3月时角膜内皮细胞计数分别为（2 567.6±529.5）、（2 297.5±549.4）,均得到回升,且观察组患者角膜内皮细胞计数仍显著高于对照组,比较差异有统计学意义（P<0.05）.观察组患者术后破后囊、悬韧带损伤,黄斑囊样水肿、角膜水肿等并发症发生率为5.66%,显著低于对照组患者的36.36%,比较差异有统计学意义（P<0.05）.结论 改良超声乳化术治疗白内障合并高度近视,能够显著减少超声乳化术能量对角膜内皮损伤,从而显著降低患者的晶体悬韧带损伤、破后囊、黄斑囊样水肿、角膜水肿等并发症发生率,提高临床治疗安全性,且改良超声乳化术治疗白内障合并高度近视能够取得与传统超声乳化术相当的视力改善质量,疗效确切.
[关键词] 改良超声乳化术；白内障；高度近视（硬核）
[中图分类号] R779 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0051-03
[Abstract] Objective This paper tries to evaluate the clinical efficacy of modified phacoemulsification in the treatment of cataract with high myopia. Methods 100 cases（108 eyes） during the period from June 2010 to June 2016 in this hospital for treatment of cataract with high myopia were randomly divided into two groups by convenience sampling, the observation group and the control group, 50 patients in the observation group with a total of 53 eyes, 50 patients in the control group with 55 eyes. Patients in the observation group were treated with modified phacoemulsification, and the control group was treated with traditional phacoemulsification. The incidence of visual acuity <0.1, the changes of corneal endothelial cells before and after treatment and the incidence of postoperative complications were observed. Results 7 d and 1 months after surgery, the incidence rate of the visual acuity measurement value of less than 0.1 was equivalent with the control group, the above differences were not statistically significant（P>0.05）. The visual acuity of the two groups was restored above 0.1 after 3 months. Corneal endothelial cell count of the observation group and the control group were similar, the difference was not statistically significant（P>0.05） and corneal endothelial cell count of the two groups were respectively （2 795.7±395.1）, （2 797.5±397.5）, the difference was not statistically significant（P>0.05）； the corneal endothelial cell count of the observation group after one month was（2 407.2±520.6）, lower than that before treatment, but still higher than the control group of （2 105.4±511.7）, there was significant difference（P<0.05）； after three months, in the observation group and the control group, the corneal endothelial cell count respectively were （2 567.6±529.5） and （2 297.5±549.4）, being picked up, and the corneal endothelial cell count in the observation group was still significantly higher than the control group, the difference was statistically significant（P<0.05）. The incidence of complications such as rupture of posterior capsule and suspensory ligament, cystoid macular edema and corneal edema in the observation group was 5.66%, which was significantly lower than that of the control group of 36.36%, and the difference was statistically significant（P<0.05）. Conclusion The modified phacoemulsification for cataract with high myopia can significantly reduce the damage to corneal endothelium by phacoemulsification power, thus significantly reducing crystal suspensory ligament injury, posterior capsule broken, cystoid macular edema, corneal edema and other complications, improving the clinical safety. The modified phacoemulsification for cataract high myopia can equally improve the quality of sight with traditional phacoemulsification, with definite curative effect.
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结论：白内障合并高度近视应用改良超声乳化手术的临床疗效分析为关于高度近视方面的的相关大学硕士和相关本科毕业论文以及相关高度近视论文开题报告范文和职称论文写作参考文献资料下载。
