山东省2010年度白内障手术分析

Analysis of 2010 cataract surgery in Shandong province

目的总结分析山东省2010年度白内障手术情况，并探讨进一步提高的措施。方法从卫生部白内障复明手术网络直报系统，统计于山东省2010年1月1日至2010年12月31日通过网络直报的各项数据。结果2010年度，山东省完成百万白内障复明手术86388例，完成CSR924．4。术后3d最佳矫正视力30．5的占71．46％；≥1．0的占10．90％。术后矫正视力〈0．05的仍有1500只眼（2．52％）。术中并发症发生率为3．8％，主要为后囊膜破裂或悬韧带断裂，术后并发症发生率为5．2％，主要为角膜水肿和切口渗漏。结论白内障复明仍是目前白内障手术的主要目的，进一步提高手术数量和质量是眼科医生当前需要解决的问题，对白内障手术医生的培训和手术步骤的规范应纳入常态化管理。

Objective To summary and analyze the condition of cataract surgery in 2010, Sban- dong province, then to investigate the measure of improvement. Methods Data were collected from the network system of hygiene department, and then made the statistical results from January 1, 2010 to December 31, 2010 in Shandong province. Results There were 86388 cataract emersion op- erations in Shandong province, 2010, and the CSR （cataract surgery rate） was 924.4. 71.46% of the patients receiving operation obtained more than 0.5 BCVA （best corrected visual acuity） in the first 3 days after surgery, and 10.90% more than 1.0. However, there were still 2.52% （1500 eyes） ob- tained less than 0.05. The incidence of complication during operation was 3.8%, mainly including posterior capsular fracture and suspensory ligment rupture. The incidence of complication after opera- tion was 5.2%, mainly including cornea edema and incision leakage. Conclusions Emersion is still the major aim of cataract surgery now, so it is necessary for oculists to improve both the quantity and quality of cataract surgery. The administration in surgeons＇ training should be normalized.