无缝线中切口硬核白内障手术在基层医院临床应用

Clinical application value of hard nucleolus cataract surgery with sutureless large incision in primary hospitals

目的总结并探讨无缝线中切口硬核白内障手术的效果。方法回顾性分析2009年1月至2013年12月在宣恩县人民医院眼科就诊的168只眼硬核患者行无缝线中切口白内障囊外摘除术临床资料。结果168只眼手术后1天、手术后1周、手术后3个月裸眼视力与术前比较，差异有统计学意义（x^2=255．21，P=0．0019；x^2=431．46，P=0．000；x^2=401．98，P：0．000）。结论无缝线中切口白内障囊外摘除术投资少、安全、容易掌握、学习曲线短、效果好，适合在基层医院开展。

Objective To summarize and explore the effect of hard nucleolus cataract surgery with sumreless large incision. Methods A retrospective analysis was made on the clinical data of 168 patients with hard nucleolus cataract received extracapsular cataract extraction with sutureless large incision from January 2009 to December 2013 in People＇s Hospital of Xuan＇en County. Re- suits Through comparing uncorrected visual acuity when one day, one week and three months after surgery with before surgery in 168 patients with cataract surgery, there were significant differences （x^2=255.21, P =0.000; x^2=431.46, P =0.000; x^2=401.98, P =0.000）. Conclusions Extracapsular cata- ract extraction with sutureless large incision is inexpensive, safe and easy to master, and the learn- ing curve is short and the effect is good. It is suitable for development in the primary hospitals.