目的:分析深圳地区近3a白内障手术趋势。方法:通过统计出入院相关资料,回顾近3a(2007-01/2009-12)在我院住院治疗的白内障患者,对白内障类型及手术方式进行统计分析。结果:我院2007-01/2009-12住院治疗白内障患者10058例,其中男4284例(42.59%),女5774例(57.41%),男女比例约为1:1.35;年龄3月龄～99岁,平均67.03±15.37岁;2007年共2803例(27.87%),年龄4月龄～99岁,平均66.06±16.76岁,2008年共3265例(32.46%),年龄3月龄～96岁,平均66.16±15.61岁,2009年共3990例(39.67%),年龄5月龄～99岁,平均67.82±14.94岁;白内障类型:老年性白内障9000例(89.48%),并发性白内障565例(5.62%),外伤性白内障265例(2.63%),先天性白内障178例(1.77%),代谢性白内障14例(0.14%),无晶状体眼36例(0.36%);手术方式:白内障超声乳化摘除联合折叠型后房型人工晶状体植入术9499例(94.44%),白内障囊外摘除联合人工晶状体植入术220例(2.19%),白内障囊外摘除术100例(1.00%),二期人工晶状体植入术228例(2.27%),未行手术11例(0.1%)。结论:深圳地区近3a来白内障住院患者数量逐年递增,老年性白内障是最主要的白内障类型,超声乳化白内障摘除联合折叠型人工晶状体植入术是治疗白内障稳定、占优势地位的手术方式。

AIM:To investigate cataract surgery tendency in Shenzhen during last three years.METHODS:The cataract categories and surgery types were retrospectively analyzed for the inpatients with cataract.RESULTS:Cataract surgery was performed in 10058 cases,4284 cases were male(42.59%)and 5774 cases(57.41%)were female,the average age was 67.03±15.37 years old,the youngest was 3 months old and the eldest was 99 years old.Cataract categories:senile cataract 9000 cases(89.48%),complicated cataract 565 cases(5.62%),traumatic cataract 265 cases(2.63%),congenital cataract 178 cases(1.77%),metabolic cataract 14 cases(0.14%),aphakia 36 cases(0.36%).Surgery types:phacoemulsification with posterior intraocular lens 9499 cases(94.44%),extracapsular cataract extraction with posterior intraocular lens 220 cases(2.19%),extracapsular cataract extraction 100 cases(1.00%),second stage intraocular lens 228 cases(2.27%),patients without surgery for other reasons 11 cases(0.1%).CONCLUSION:Cataract inpatient cases increase during the last 3 years,senile cataract is the main cataract category,phacoemulsification with posterior chamber IOL is the predisposing cataract surgery.

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