摘要
目的探讨基层医院白内障手术由小切口向超声乳化转型的分析。方法收治的2014年12月至2016年6月在眼科诊断为年龄相关性白内障300例(300眼),按Emery核硬度分级:Ⅱ级核78眼,Ⅲ级核175眼,Ⅳ级核47眼。术前全身及眼部常规检查,排除手术禁忌证。在带教老师的指导下培训由小切口转型为超声乳化手术。结果300例眼中,267例顺利完成超声乳化手术,33例改为小切口囊外摘除术(ECCE),所有手术为Ⅰ期植入人工晶体。结论基层医院只有以严谨、积极的科学态度来学习转型,强调规范化操作,由简入繁倒序的分步带教,逐步掌握手术技巧,才能以最少的并发症为代价掌握小切口向超声乳化技术转型的目标。
Objective To investigate the transition of cataract surgery from small incision to phacoemulsification in primary hospitals.Methods A total of 300 patients(300 eyes),who were diagnosed as age-related cataract in our hospital from December 2014 to June 2016,were classified into three groups based on nuclear hardness grading of Emery grading system:group 1:78 cases with gradeⅡ,group 2:175 cases with gradeⅢand group 3:47 cases with gradeⅣ.All the patients underwent general examination and conventional eye examination before operation to exclude surgical contraindications.Transition of cataract surgery from small incision to phacoemulsification was performed under the guidance of clinical teachers.Results Of 300 patients,phacoemulsification was completed successfully in 267 cases,and extracapsular cataract extraction(ECCE)was performed in 33 cases.All the patients were implanted intraocular lens at stage I.Conclusion Only with rigorous and positive scientific attitude as well as by emphasizing the standardized operation,following the principle of going from simple to complex and teaching step by step,can gradually master the surgical skill of transition from small incision to phacoemulsification at the expense of minimal complications in primary hospitals.
作者
刘晓静
张彦坤
LIU Xiaojing;ZHANG Yankun(Department of Ophtalmology,People’s Hospital of Ci County,Hebei,Ci County 056500,China)
出处
《河北医药》
CAS
2019年第17期2688-2690,共3页
Hebei Medical Journal
关键词
白内障
小切口
超声乳化
转型
cataract
small incision
phacoemulsification
transition
