表面麻醉方式在白内障超声乳化术中的应用

目的:对白内障超声乳化术采用两种不同麻醉方式来完成手术。根据术后并发症少、安全、省时、痛苦少的比较来选择一种相对安全的麻醉方式。方法:回顾分析2009-03/2010-03我院经治白内障患者361例398眼的临床资料。采用白内障超声乳化术随意分为两组。分别采用球后麻醉、表面麻醉。结果:球后麻醉组显效184例、有效11例。表面麻醉显效190例、有效13例。术中并发症:后囊破裂:球后麻醉5眼,表面麻醉6眼。球后出血:球后麻醉1眼。角膜水肿:均在1wk内恢复。结论:白内障超声乳化术采用表面麻醉安全、省时、患者痛苦少、避免了球后麻醉经常报道的并发症。

Topical anesthesia application in phacoemulsification

·AIM:To choose the relatively safe anesthetic method with fewer complications,more safety,shorter time,less pain.Two different anesthetic methods were applied in phacoemulsification operation.·METHODS:Clinical data of 361 patients 398 eyes with cataract from March 2009 to March 2010 in our hospital were retrospectively analyzed.Retrobulbar anesthesia or topical anesthesia were used randomly in phacoemulsification in two groups.·RESULTS:In the retrobulbar anesthesia group,markedly effective in 184 cases and effective in 11 cases,while in topical anesthesia group,markedly effective in 190 cases and effective in 13 cases.Intraoperative complications:five cases of capsule rupture in retrobulbar anesthesia while 6 cases in topical anesthesia.Retrobulbar hemorrhage(1 eye)was found in retrobulbar anesthesia.All the corneal edema recovered to normal in 1 week.·CONCLUSION:Phacoemulsification with topical anesthesia is a safe method,which have the feature of saving time,less pain and fewer complications.·