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目的探讨超声乳化手术在复明手术中的临床意义。方法对2006年5月至2008年3月复明工作中的白内障手术患者进行回顾性分析,比较两组共计254只眼216名患者,分别应用无缝线小切口白内障囊外摘除术联合人工晶体植入术(小切口组,123眼)和超声乳化白内障吸除术联合人工晶体植入术(超声乳化组,131眼),其手术时间、术后视力、术后散光及其他相关并发症发生的差异。结果手术时间、术后视力及术后散光等比较,二者并没有显著差异,但是超声乳化组手术切口小、术后视力恢复快、术后并发症少。结论超声乳化白内障手术非常适合我国当前的国情,符合当今微创手术技术的发展趋势,超声乳化白内障吸除手术总体水平不断提高,在我国得到了普及和发展,现已成为手术治疗白内障的首选方式,为我国大规模的防盲、治盲工作增加了一项新方法。
Objective To investigate the clinical significance of phacoemulsification surgery in phacoemulsification. Methods Retrospective analysis was performed on cataract surgery patients from May 2006 to March 2008 in Fudan University. A total of 216 patients with 254 eyes were enrolled in this study. They were treated with sutureless small incision extracapsular cataract extraction combined with IOL implantation The operation time, postoperative visual acuity, postoperative astigmatism and other related complications occurred in patients with small incision group (123 eyes) and phacoemulsification combined with intraocular lens implantation (phacoemulsification group, 131 eyes) difference. Results The operation time, postoperative visual acuity and postoperative astigmatism were not significantly different between the two groups. However, the phacoemulsification group had less incision, rapid visual acuity recovery and fewer postoperative complications. Conclusion Phacoemulsification cataract surgery is very suitable for our current national conditions, in line with the current trend of minimally invasive surgical techniques, phacoemulsification cataract surgery continues to improve overall level, has been popularized and developed in our country, has now become the preferred method of surgical treatment of cataracts , Adding a new method for the large-scale prevention of blindness and blindness in our country.