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[目的]探讨分析某院接收的短期大规模白内障防盲手术的手术效果。总结了一些白内障防盲手术的体会。[方法]资料来自2009年4月～2009年7月某院接受的江西省“微笑·光明”行动的1242例(1242眼)白内障防盲手术。小切口非超乳组有490例(490眼),超乳组752例(752眼)。分析两组手术效果和手术并发症。[结果]小切口非超乳组脱盲率为91.63%(449眼),脱残率为63.88%(313眼);超乳组脱盲率为96.14%(723眼),脱残率为84.31%(634眼)。总脱盲率为94.36%(1172眼),脱残率为76.25%(947眼)。两组比较差异有统计学意义(χ2=6.02,P﹤0.05)。[结论]短期大规模白内障防盲手术取得了良好复明效果,但良好的组织及加强术后用药指导和随访对保证医疗安全至关重要。
[Objective] To investigate the surgical effect of short-term large-scale cataract surgery received by a hospital. Summed up some experience cataract anti-blind surgery. [Method] The data are from 1242 cases (1242 eyes) of cataract prevention and treatment for blindness in Jiangxi Province from April 2009 to July 2009. There were 490 cases (490 eyes) in the small incision non-phacoemulsification group and 752 cases (752 eyes) in the super-phacoid breast group. Analysis of two groups of surgical effects and surgical complications. [Results] The rate of blindness was 91.63% (449 eyes) in small non-phacoemulsification group and 63.88% (313 eyes) in non-phacoemulsification group. The blindness rate in phacoemulsification group was 96.14% (723 eyes) and the disability rate was 84.31% 634 eyes). The total blinding rate was 94.36% (1172 eyes), and the disability rate was 76.25% (947 eyes). The difference between the two groups was statistically significant (χ2 = 6.02, P <0.05). [Conclusion] The short-term large-scale cataract anti-blind operation has achieved a good effect, but good organization and strengthening postoperative medication guidance and follow-up are essential to ensure medical safety.