基层医院规模化白内障两种术式的临床观察

Clinical observation of two cataradt surgical procedures on a scale action in basic hospital

目的:探讨目前基层医院和扶贫工作中规模化白内障手术两种术式的临床效果。方法:观察“视觉第一中国行动”在9天内完成的365例(369眼)白内障手术,其中超声乳化术(Phacoemulsification)151眼,现代囊外摘除术(ECCE)218眼。比较两种不同术式术后视力、并发症情况。结果:Phaco与ECCE术后早期视力差异有显著性(P<0.05);术后3月视力差异无显著性(P>0.05);两组均无严重并发症发生。结论:Phaco手术视力恢复快、散光小,效果好;ECCE通过对手术技术的改进,熟练的手术操作仍能达到很好的效果,与Phaco术后效果接近,因设备简单,操作易行,适用于基层医院及扶贫工程。

Objective：To study the clinical effect of two methods of cataract surgery on a scale treatment of cataract in rura hospita. Methods：365 cases（369 eyes） of cataract surgery in ＂Vision first in China＂ were finished within 9 days.Among them,the catarat of 151 eyes was extracted by phacoemulsifieation （Phsco） method and the cataract of 218 eyes by modem extraeapsular cataract extraction （ECCE） method.Tbe postoperative visual acuity and postoperative complication in two different surgical methods were compared respectively.Results： There was significant difference in early postoperative visual acuity between two surgical methods （P〈0.05）,but without significant differenee in 3-month postoperative visual acuity （P〈0.05）.No serious complication was found in beth surgical methods.Conclusion：Compared with the ECCE method,the recovery of postoperative visual acuity in phaeo method in faster,the aetigrnatism is smaller and the effect is better.By improving the operative technique of ECCE,the good effeet,approsching to that of Phaeo earl also be achieved by proficient manipulation.As a surgical method,ECCE is true for rural hospital and ＂Poverty alleviation＂aetion due to its simple instrument and operation.