【摘要】 目的探讨基层医院白内障手术从现代囊外摘除术(ECCE)到超声乳化术(phacoemulsification)的过渡。方法对有ECCE手术经验的医生,通过130眼动物实验后,进行100例老年性白内障Phaco带教培训。结果术后1天视力≥0.3者94%,≥0.5者83%;术后3月视力≥0.3者96%,≥0.5者90%,人工晶体植入率100%,无角膜失代偿、核坠落、视网膜脱落等严重并发症,实现了从ECCE到Phaco的安全过渡。结论基层医生只要以严谨、积极的科学态度进行学习,有扎实的显微手术基础,严格选择病例,配以良好的设备,强调规范化操作,同样能成功地完成转化过程,开展较高质量的白内障超声乳化手术。更多还原

【Abstract】 Objective Methods Results Conclusion To study and discuss the transformation from extracapsular cataract extraction (ECCE) to phacoemulsification(Phaco) in basic-level hospitals. Doctors with ECCE experience were trained by 130 cases of animal experimentsand subsequent 100cases of treatment on age-related cataract. In these patients, 1-daypostoperative visual acuity: 94% ≥ 0.3, 83% ≥ 0.5; 3-month postoperative visual acuity: 96%≥0.3, 90% ≥0.5. The ratio of intraocular lens (IOL) implantation reached 100%. There was not serious complication such as cornea decompensation, dropped nucleus, and retinal detachment. Thus, safe transformation from ECCE to Phaco was realized. Basic-level ophthalmological doctors can succeed in the transforming from ECCE to Phaco and perform high-level phacoemulsification operation if only they study with strict and active scientism, master micro-operationskill, strictly chose patient cases, and areprovided with good equipments.更多还原