早期开展白内障超声乳化人工晶体植入手术的临床分析

Clinical analysis of the early launch of phacoemulsification and intraocular lens implantation surgery in cataract treatment

目的探讨初学者在掌握白内障超声乳化人工晶体植入手术初期中的内在规律。方法回顾性分析超声乳化白内障吸出人工晶体植入术与小切口白内障摘除+人工晶体植入术手术方式在治疗老年性白内障患者首50例手术前后的临床资料,从病例选择,手术技巧,术中术后并发症,手术效果等相关影响因素进行分析。结果术后第1周视力≥0·5两组比较有统计学差异(P<0·05),术后3月视力≥0·5,两组比较无统计学差异(P>0·05)。两组在手术费用方面比较有统计学差异(P<0·01);手术时间(min),手术完成率(%)术中术后并发症发生率(%)等方面则两组比较均无统计学差异(P<0·05)。结论两种手术方式对于初学者来说,首50例发生手术并发症发生率均较高,需要选择合适的病例,谨慎开展两种手术才能减少学习曲线,从而取得较好的临床效果。

Objective To explore the inherent law for first learners in mastering phacoemulsification and intraocular lens implantation surgery in cataract treatment. Methods A retrospective analysis of preoperative and postoperative clinical data of 50 patients received cataract treatment using phacoemulsification plus intraocular lens implantation and small-incision extracapsular cataract extraction plus intraocular lens implantation respectively by first learners, we analysed the patient selection, surgical technique, intraoperative and postoperative complications, operation effect and other related influencing factors.Results There is statistical difference between the two groups in visual acuity （≥0.5）one week after operation（P〈0.05）, and no statistical difference is found 3 months after operation （P〉0.05）.There is statistical difference in surgical cost between the two groups （P〈0.01）, and no statistical difference is found in operation time （min）, operation completement rate （%）, intraoperative and postoperative complications rate （%）between the two groups （P〈0.05）.Conclusion To first learners, the operative complications rate is relatively high in their first 50 operations.Doctors should select appropriate cases and carefully perform the two surgeries to reduce and achieve better clinical effect.