白内障超声乳化术初学者并发症的临床分析

Clinical Analysis of Complications in Phacoemulsification by Beginner

目的探讨分析白内障超声乳化术初学者出现手术并发症的原因。方法选取197例已行白内障超声乳化术的白内障患者进行回顾性分析,对术中、术后发生的并发症及其原因进行总结分析。结果所有患者术后视力均得到不同程度的提高,视力>0.3者:术后第1天131眼(66.50%),术后1周162眼(82.23%),术后1个月185眼(93.91%),术后3个月182眼(92.39%)。术中术后的并发症主要有后囊膜破裂4眼(2.03%),角膜内皮水肿31眼(15.74%)等。结论初学者的白内障超声乳化术疗效、并发症的发生率与术者的经验、技术熟练程度密切相关,需要较长的学习曲线。

Objective To discuss the causes of complications in phacoemulsification by beginner. Methods Phacoemulsification on 197 cataract patients was retrospectively analyzed, and the causes and prevention of Intraoperative and postoperative complications were studied. Results The postoperative visual acuity of all patients were improved to varying degrees. On postoperative day 1, week 1,month 1 and month 3 the proportion of patients who had acuity of 0.3 or better were 131 eyes（66.50%）,162 eyes（82.23%）, 185 eyes（93.91%）,182 eyes（92.39）. Intraoperative and postoperative complications were posterior capsular rupture （4 eyes,2.03%）, corneal endothelium edema （31 eyes,15.74%）,et al. Conclusion The effect and complication rate of phacoemulsification are closely associated with surgical experience, technical proficiency, and it requires a long learning curve process.