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由实习生与顾问进行的双边白石手术 (ISBCS) 的结果:双臂队列研究
Rajesh Deshmukh1, Mohsan Malik2, Sam Myers3
1Moorfields Eye Hospital, London, UK. rajesh.deshmukh@nhs.net.
由住院眼科医生进行的即时连续双边白内障手术 (ISBCS) 显示了与顾问外科医生相似的结果. 这表明居民可以执行ISBCS,增强培训和解决劳动力需求.
科学领域:
- 眼科医生 眼科 眼科
- 进行外科手术培训.
- 患者的治疗结果.
背景情况:
- 立即连续双边白内障手术 (ISBCS) 越来越常见.
- 评估不同经验水平的外科医生进行的ISBCS的安全性和有效性至关重要.
研究的目的:
- 为了比较由住院眼科医生和咨询眼科医生进行的ISBCS的结果.
- 评估ISBCS后的并发症,折射精度和视力敏度.
主要方法:
- 进行了ISBCS手术 (发泡乳和眼内镜片植入物) 的回顾性审查.
- 住院外科医生 (Gr1) 和咨询外科医生 (Gr2) 的结果进行了比较.
- 分析的数据包括手术内/术后并发症,折射结果 (距离目标的球体等价值>0.5D和>1.0D),以及三个月后未经纠正的远距离视力敏度 (UDVA).
主要成果:
- 这项研究包括553只眼睛 (Gr1) 和687只眼睛 (Gr2).
- 两组之间在UDVA,手术内/手术后并发症或折射结果方面没有发现统计学上显著的差异.
- 具体来说,折射结果 (Gr1: -0.12 D,Gr2: -0.25 D) 和> 1.0D SE偏差率 (Gr1: 6%,Gr2: 3.9%) 是相似的.
结论:
- 执行ISBCS的住院眼科医生取得的结果与咨询眼科医生的结果相当.
- 住院人员监督的ISBCS可以增强外科培训机会.
- 这些发现支持将居民纳入ISBCS程序,可能减轻劳动力和财政挑战.
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