摘要目的 了解粤北乡镇白内障患病及手术情况,探索白内障扶贫复明手术方式及其效果.方法 在粤北山区坪石镇开展对50岁以上人群白内障患病及手术情况调查,并分析比较622例(622只眼)白内障患者分别施行白内障囊外摘除+人工晶状体植入术(ECCE+IOL)和大切口无缝线白内障摘除+人工晶状体植入(SLIMCE+IOL)两种术式的效果.结果 (1)白内障患病率为21.18％,与全国其他省区相近;(2)白内障手术覆盖率为54.51％,略高于其他省区;(3) ECCE+IOL和SLIMCE+IOL是该地主要术式(占62.70％),两种术式在术后视力及并发症等方面无显著性差异,且效果较好、费用低廉.结论 (1) ECCE+IOL和SLIMCE+IOL两种术式是贫困山区白内障复明的有效手术方式;(2)定期白内障普查及广泛宣传白内障有关常识等活动是提高白内障手术数量和质量的有效方法.

abstractsObjective To analyze prevalence and vision rehabilitation surgeries of cataract in north Guangdong Province and investigate the procedures and effects of cataract charity surgery.Methods We evaluated subjects who is 50 years or older in Pingshi (a mountainous region of north Guangdong Province) and investigated prevalence and procedures of cataract surgery.The effects of operations were compared between the extra capsular cataract extraction and intraocular lens (ECCE+IOL) and Suture less Large Incision Manual Cataract Extraction and intraocular lens (SLIMCE +IOL) group in 622 patients (622 eyes).Results (1) The prevalence of cataract was 21.18％,close to prevalence in other provinces in China;(2) cataract surgical coverage rate was 54.51％,slightly higher than other provinces;(3) ECCE+IOL and SLIMCE+IOL are main surgeries in this area (62.70％).There's no significant difference between these two surgeries in postoperative visual acuity and complications.Also,they had better effects and lower costs.Conclusions (1) ECCE+IOL and SLIMCE+IOL are two effective surgeries for cataract in poor mountainous areas;(2) general survey and propaganda popularization of general knowledge of cataract are effective ways to improve the number and quality of cataract surgery.