基层医院开展白内障复明手术方式的探讨

Research on the developing operation method of cataract in the primary hospital

摘要:

目的:总结分析超声乳化白内障摘除术和小切口非超声乳化白内障摘除联合人工晶状体植入术的效果和特点,探讨适合基层医院开展的一种手术方法。方法:随机选择387例405眼经小切口非超声乳化白内障摘除联合人工晶状体植入手术和256例278眼经超声乳化白内障摘除术治疗的白内障患者的病例资料,总结术中、术后并发症,以及术后视力恢复情况。结果:两者术中、术后并发症及术后视力均无明显差异。结论:小切口非超声乳化白内障摘除联合人工晶状体植入手术安全有效,操作简单,投入少,费用低,适合基层医院开展。

Abstract:

AIM:To summarize and analyze the effect and characteristic of the phacoemulsification extraction and the small incision non-phacoemulsification extraction and intraocular lens(IOL), and evaluate a more suitable operation method in primary hospital. METHODS: A total of 387 cases 405 eyes was chosen and the cataract patients medical record material treated by the small incision non-phacoemulsification extraction and IOL was selected, and 256 cases 278 eyes were chosen and the cataract patients medical record material treated by the phacoemulsification extraction and IOL was selected, then the complications in the operation, after the operation, and the visual acuity restores situation were summarized. RESULTS: There was no significant difference between the phacoemulsification extraction and the small incision non-phacoemulsification extraction in complications,during operation and after operation. CONCLUSION: The small incision non-phacoemulsification extraction and IOL is safe and effective, the operation is simple, the investment and expense are few, so it is more suitable in primary hospital.