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1、复明九号车仙桃基地门内障复明手术临床观察作者：徐峰，周雄武,刘海霞，周斌，郭亚琴，黄慧单位：中国湖北省仙桃市中医院眼科；(430030)中国湖北省武汉市，华中科技大学同济医学院附属同济医院眼科；(430000)中国湖北省武汉市，湖北省残疾人联合会【摘要】目的：冋顾分析湖北省复明九号车仙桃基地为期25d,免费为贫闲白内障患者施行白内障复明手术的临床疗效。方法：为经过严格筛查适合手术复明的贫困口内障患者，施行白内障超声乳化吸除术(或小切口非超声乳化白内障摘除术)及人工晶状体植入术。结果：本组270眼术后视力:1.2者2眼，1.0者25眼,0.8者21眼,0.6者48
2、眼,0.5者33眼,0.4者33眼。共162眼,占60.00%o低视力：二级低视力0.3者46眼,0.2者33眼,一级低视力0.1者4眼,0.09〜0.05者2眼。共85眼,占31.48%。盲：二级盲0.04〜0.02者15眼,一级盲:指数8眼。共23眼,占8.52%o脱盲率91.48%。脱残率77.03%。结论：只有精心的术前筛查，规范的把握适应证和娴熟的手术技能，全程严格控制感染，才能保证手术车上短期人量手术的质量。而脱盲率和脱残率的高低，则主要由患者群自身综合因素决定。【关键词】复明九号车；贫困白内障患者；手术治疗Clinicalobservationof
3、FumingNo.9carscataractoperationinXiantaobaseFengXu,XiongWuZhou,HaiXiaLiu,BinZhou,YaQinGuo,HuiLinHuangDepartmentofOphthalmology,TraditionalChineseMedicineHospitalofXiantao,Xiantao433000,HubeiProvince,China;DepartmentofOphthalmology,TongjiHospitalofTongjiMedicalCollegeofHuazhongUnivers
4、ityofScienceandTechnology,Wuhan430030,HubeiProvince,China;AssociationfortheHandicappedofHubeiProvince,Wuhan430000,HubeiProvince,ChinaAbstractAIM:TolookbackandanalyseclinicaleffectoffreecataractoperationonpoorcataractpatientsbyFumingNo.9carofHubeiProvincestayinginXiantaofor25days.METH
5、ODS:Thepoorcataractpatientswhowerestrictlyselectedandsuitabletooperationwereperformedsmallincisionnonphacoemulsificationcataractextractionandintraocularlensimplantation・RESULTS:The270eyespostoperationvisioninourgroup:1.2(2eyes),1.0(25eyes),0.8(21eyes),0.6(48eyes),0.5(33eyes),0.4(33ey
6、es),totally162eyesandaccountfor60.00%・Lowvision:secondlowvision0.3(46eyes),0.2(33eyes),firstlowvision0.1(4eyes),0.090.05(2eyes),totally85eyesandaccountfor31.48%.Blindness:secondblindness0.040.02(15eyes),firstblindness(8eyes),totally23eyesandaccountfor&52%.Offblindrate:91.48%.Offremna
7、ntrate:77.03%.CONCLUSION:Onlythroughcarefulpreoperationselection,standardholdingsuitability,proficientoperationskillsandstrictlycontrollinginfection,canthequalityofmassoperationbeguai*anteedinoperationcarinashorttime.However,thehighandlowofoffblindrateandoffremnantrateareprimarilydec
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