“和谐使命―2017”非洲七国开展白内障超声乳化手术临床疗效分析  

Clinical efficacy of cataract phacoemulsification performed in seven African countries during “Mission Harmony-2017” task

作　　者：宋平 杜改萍 易岚 叶霞 吴晋晖[4] SONG Ping;DU Gai-ping;YI Lan;YE Xia;WU Jin-hui(No.413 Hospital of PLA,Zhoushan 316000,Zhejiang,China;No.401 Hospital of PLA,Qingdao 266071,Shandong,China;Department of Ophthalmology,Changzheng Hospital,Navy Medical University（Second Military Medical University）,Shanghai 200003,China;Department of Ophthalmology,Changhai Hospital,Navy Medical University（Second Military Medical University）,Shanghai 200433,China)

机构地区：[1]解放军413医院眼科,舟山316000 [2]解放军401医院眼科,青岛266071 [3]海军军医大学(第二军医大学)长征医院眼科,上海200003 [4]海军军医大学(第二军医大学)长海医院眼科,上海200433

出　　处：《第二军医大学学报》2018年第7期784-787,共4页Academic Journal of Second Military Medical University

基　　金：上海市浦江人才计划(17PJD041)~~

摘　　要：目的分析"和谐使命―2017"任务中对非洲七国白内障患者行白内障超声乳化联合人工晶状体植入术的临床疗效。方法回顾性分析2017年8月至11月在海军"和平方舟"医院船上行白内障超声乳化联合人工晶状体植入术治疗的51例(52眼)白内障患者的临床资料。观察并记录术前、术后1 d术眼的最佳矫正视力和散光度,术后眼部恢复情况,以及术中和术后并发症。结果 52只术眼中,4眼(7.7%)术后1 d的最佳矫正视力为0.06~0.3,26眼(50.0%)为0.4~0.6,22眼(42.3%)为0.8~1.2。裂隙灯检查:术后1~3 d,48眼(92.3%)角膜透明;4眼(7.7%)角膜水肿;50眼(96.2%)瞳孔圆,瞳孔直径为2.0~3.0 mm;所有术眼角膜后沉积物(-),丁达尔效应(-)。52眼的术前平均散光度为(1.13±1.02)D,较术后1 d[(2.67±0.87)D]增加,差异有统计学意义(t=2.365,P<0.05)。术中后囊破裂及玻璃体脱出2眼(3.8%),虹膜脱出1眼(1.9%),瞳孔进行性缩小2眼(3.8%);术后1 d角膜水肿4眼(7.7%)。结论在"和平方舟"医院船上施行白内障超声乳化联合人工晶状体植入术,手术安全、效果良好。Objective To analyze the clinical efficacy of cataract phacoemulsification combined with implantation of artificial lens for patients with cataract in seven African countries during＂Mission Harmony-2017＂task. MethodsWe retrospectively analyzed the data from 51 cataract patients（52 eyes） receiving cataract phacoemulsification combined with implantation of artificial lens between Aug. 2017 and Nov. 2017 on Ark-peace Hospital Ship. The preoperative and 1 d postoperative best-corrected visual acuity and astigmatism were compared, the postoperative ocular recovery was observed, and the intraoperative and postoperative complications were analyzed. Results One day postoperation, 4（7.7%） of 52 eyes had a best-corrected visual acuity ranging from 0.06 to 0.3, 26（50.0%） 0.4 to 0.6, and 22（42.3%） 0.8 to 1.2. Slit-lamp examination showed that 48 eyes（92.3%） had corneal hyaline on 1-3 d after operation, 4 eyes（7.7%） had corneal edema, and 50 eyes（96.2%） had round pupil with diameter being 2.0-3.0 mm, and posterior corneal deposits and Tyndall effect were negative in all eyes. The mean astigmatism of 52 eyes before operation was significantly higher than that on 1 d after operation（[1.13±1.02] D vs [2.67±0.87] D, t=2.365, P〈0.05）. Posterior capsular rupture and vitreous prolapse occurred in 2 eyes（3.8%）, prolapse of iris in 1 eye（1.9%）, and progressive pupil reduction in 2 eyes（3.8%） during operation. Corneal edema occurred in 4 eyes（7.7%） on 1 d after operation. Conclusion Cataract phacoemulsification combined with implantation of artificial lens can be safely and effectively performed on Ark-peace Hospital Ship.

关 键 词：非洲 白内障 “和平方舟”医院船 超声乳化白内障吸除术 

分 类 号：R776.1[医药卫生—眼科]