摘要
目的分析"健康快车"辽源站白内障手术扭动模式超声乳化与小切口囊外摘除手术的效果。方法回顾性分析2016年5~8月"健康快车"辽源站1209例(1209眼)白内障患者病例资料,1122例行超声乳化吸除术,87例行小切口囊外摘除术。分析患眼手术前后视力和手术并发症。结果术后第1日术眼裸眼视力与术前最佳矫正视力比较,差异有高度统计学意义(P<0.01)。术中并发症包括前房出血14例(1.16%),后囊破裂17例(1.41%),悬韧带断裂6例(0.50%),玻璃体外溢16例(1.32%),后弹力层脱离20例(1.65%);术后早期并发症包括角膜水肿181例(15.0%),高眼压35例(2.90%),前房渗出3例(0.25%),伤口渗漏2例(0.17%),人工晶状体夹持5例(0.41%)。结论 "健康快车"上短时间大批量白内障手术中,扭动模式超声乳化和小切口囊外白内障摘除均安全有效,可以改善患者视觉质量。
Objective To evaluate effects of cataract surgery with torsional ultrasound mode and small incision extracapsular cataract extraction at Liaoyuan station in Lifeline Express. Methods From May to August 2016, 1209 cases（1209 eyes） of cataract surgeries at Liaoyuan station in Lifeline Express were retrospectively evaluated. Phacoemulsification with torsional ultrasound mode were performed in 1122 cases and extracapsular cataract extraction through a small incision in 87 cases. The preoperative and postoperative data of treated eyes, operative procedures and surgical complications were recorded. Results There was a significant difference between the uncorrected visual acuity of the first post-operative day with the best corrected visual acuity before operation（P〈0.01）. The main intraoperative complication included： hyphema in 14 eyes（1.16%）, posterior capsule rupture in 17 eyes（1.41%）, suspensory ligament rupture in 6 eyes（0.50%）, vitreous fluxion in 16 eyes（1.32%） and Descemet′s membrane detachment in 20 eyes（1.65%）.The early period postoperative complications included： cornea edema in 181cases（15.0%）, intraocular hypertension in 35cases（2.90%）, exudation in anterior chamber in 3 cases（0.25%）, leakage of the wound in 2 cases（0.17%） and pupil capture of intraocular lens in 5 eyes（0.41%）. Conclusion Both phacoemulsification with torsional ultrasound mode and extracapsular cataract extraction through a small incision are safe and effective in large-scale cataract surgery in Lifeline Express and may provide improvement of visual acuity in cataract patients.
出处
《中国医药导报》
CAS
2017年第24期143-146,共4页
China Medical Herald
关键词
白内障
并发症
健康快车
扭动超声
囊外摘除
Cataract
Complication
Lifeline Express
Torsional ultrasound
Extracapsular cataract extraction
