基层医院初期开展白内障超声乳化手术的并发症分析  

Clinical analysis on complications of initial phacoemulsification in a grass-roots hospital

作　　者：魏学忠[1] 周特红[1] 

机构地区：[1]北京市房山区第一医院眼科,102400

出　　处：《眼科》2009年第2期101-103,共3页Ophthalmology in China

摘　　要：目的回顾基层医院初期开展白内障超声乳化手术的主要并发症情况,探讨其防范措施。设计回顾性病例系列。研究对象房山区第一医院初期开展的184例(188眼)超声乳化白内障手术患者。方法行上方角膜缘隧道切口超声乳化白内障摘除及人工晶状体植入手术,观察记录术中、术后出现的并发症情况。随访3～6个月。主要指标手术并发症发生率。结果术中出现的主要并发症有后囊膜破裂8眼(4.3%),虹膜损伤2眼(1.1%)。术后早期并发症有角膜内皮水肿23眼(12.2%),葡萄膜炎16眼(8.5%),高眼压4眼(2.1%)。术后晚期并发症有视网膜脱离2眼(1.1%),后发障2级以上21眼(11.2%)。最后随访时视力0.5以上149眼(79.3%)。结论基层医院初期开展白内障超声乳化时可出现较多手术并发症,应在有相应手术经验医师指导下逐步开展。Objective To review the complications of initial phacoemulsification in a grass-roots hospital and to investigate preventive measures from complications. Design Retrospective cases series. Participants 184 cataract patients of initial phacoemulsifieation in the Fangshan First Hospital. Methods 184 patients （188 eyes） were performed phacoemulsifieation and intraocular lens （IOL） implantation. The complications were observed and recorded. All patients were followed up 3-6 months. Main Outcome Measures The rate of main complications. Results Major complications during and after phacoemulsification cataract surgery included posterior capsule rupture in 8 eyes （4.3%）, iris injury in 2 eyes （1.1%）, corneal edema in 23 eyes （12.2%）, uveitis in 16 eyes （8.5%）, ocular hypertension in 4 eyes （2.1%）, detachment of retina in 2 eyes （1.1%）, after-cataract in 21 eyes （11.2%）. At the last visit, the post-surgery visiual acuities were 0.5 or better in 149 eyes （79.3%）. Conclusion There may be more complications happened in the initial phacoemulsification in a grass-roots hospital. It should be gradually developed under the direction of skilled surgeons. （Ophthalmol CHN, 2009, 18： 101-103）

关 键 词：白内障/外科学 超声乳化白内障吸除术 手术并发症 

分 类 号：R779.66[医药卫生—眼科] R657.4[医药卫生—临床医学]