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目的分析白内障超声乳化手术在基层医院开展初期并发症发生情况与原因。方法回顾性分析南平市建阳第一医院2013—2015年行白内障超声乳化手术治疗的白内障患者520例(539只眼),观察患者术中、术后并发症发生情况并分析其发生原因。结果术中并发症主要有后囊膜破裂、虹膜损伤;术后早期并发症主要有高眼压、角膜内皮水肿;术后6月内并发症主要有后发性白内障(后发障)。术后6个月随访,患者视力>0.5者502眼。结论基层医院行白内障超声乳化手术治疗初期并发症发生率较高,初学者掌握水平较差是导致并发症发生的主要原因,因此要加强临床医生的培训,应在经验丰富的医师进行指导下逐渐开展手术治疗。
Objective To analyze the incidence and causes of initial complications of phacoemulsification in primary hospitals. Methods A retrospective analysis of 520 cases (539 eyes) of cataract treated by cataract phacoemulsification in Jian Yang First Hospital of Nanping from 2013 to 2015 was conducted. The incidence of intraoperative and postoperative complications and the causes of the complications were analyzed. Results The main complications were posterior capsular rupture and iris injury. The early postoperative complications were mainly ocular hypertension and corneal endothelial edema. The main complications in the first 6 months after operation were posterior cataract. Follow-up 6 months after surgery, visual acuity> 0.5 in 502 eyes. Conclusions The incidence of early complications of primary phacoemulsification in primary hospitals is high, and the poor mastery of beginners is the main reason leading to complications. Therefore, to enhance the training of clinicians, we should gradually under the guidance of experienced physicians To carry out surgical treatment.