基层医院开展超声乳化白内障吸除术临床体会  

The clinical experience of carrying out phacoemulsification in hospitals

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作  者:赵书辉[1] 丁颖[2] 杨凤霞 

机构地区:[1]河北省唐山市乐亭县医院眼科,河北唐山063600 [2]河北医科大学第一医院 [3]河北省唐山市乐亭县中医院

出  处:《现代预防医学》2012年第19期5190-5191,共2页Modern Preventive Medicine

摘  要:目的介绍基层医院开展超声乳化治疗白内障的临床经验、对并发症进行观察,分析其发生的原因及探讨防治原则。方法对某院行超声乳化白内障吸除术治疗的患者200例(220只眼)的手术情况进行回顾性分析。结果术后3个月矫正视力﹤0.05者5只眼(2.3%),0.05~0.1者6只眼(2.7%),0.1~0.5者90只眼(40.9%),0.5~1.0者100只眼(45.5%),﹥1.0者19只眼(8.6%);术中并发症:切口灼伤1只眼(0.4%);虹膜损伤者16只眼(7.3%);晶状体后囊膜破裂者20只眼(9.1%);角膜后弹力层撕脱着1只眼(0.4%);晶状体核块坠入玻璃体腔者3只眼(1.4%)。术后并发症:角膜水肿者10只眼(4.5%),未见其他严重并发症发生。结论超声乳化白内障吸除术操作难度大,对术者技术要求高,强调在开展该手术时首先要熟悉机器的性能,其次要选择合适的病人,要求术者熟悉手术步骤并能处理相关并发症,这样就能逐渐达到熟练掌握该项手术的目的 。OBJECTIVE To introduce the clinical experience of carrying out phacoemulsification in the treatment of cataract in hospitals,to observe the complications,to analyze the reasons of occurrence and to discuss control principles.METHODS 200 patients(220 eyes) with phacoemulsification surgery in our hospital were analyzed.RESULTS 3 months after treatment,corrected vision ﹤0.05 were in 5 eyes(2.3%),0.05-0.1 were in 6 eyes(2.7%),0.1-0.5 in 90 eyes(40.9%),0.5 to 1.0 in 100 eyes(45.5%),﹥1.0 in 19 eyes(8.6%);Intraoperative complications:incision burns 1 eye,(0.4%);iris damage of the eye only 16,(7.3%);posterior capsular rupture 20 eyes(9.1%);tear of Descemet's membrane 1 eye,(0.4%);crystalline lens in vitreous cavity 3 eyes,(1.4%).The postoperative complications:the corneal edema 10 eyes,(4.5%),there were no serious complications.CONCLUSION Phacoemulsification is difficult.For operators,high technical requirements are needed and it emphasizes that be familiar with the performance of the machine before operation,then selecting the right patients,be familiar with the operation steps and can deal with related complications,so it can gradually achieve the purpose of mastering the surgery.

关 键 词:超声乳化白内障吸除术 晶体 人工 白内障 

分 类 号:R776.1[医药卫生—眼科]

 

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