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白内障手术的发展史,也是白内障手术麻醉的发展史。白内障手术至今已有2000多年的历史,从针拨白内障手术、囊外摘除术、囊内摘除术、现代白内障囊外摘除术、小切口囊外摘除术,发展到现代的超声乳化手术,其麻醉也随着手术的不断改进而发生了相应的变化,从球后、球周、结膜下,到表面麻醉,甚至不麻醉,各类麻醉方法均是适应手术应运而生,但每种麻醉均有其特点,目的就是找出各种麻醉方法的优缺点。通过大量的临床观察及研究,认为目前较方便、并发症少、又切实有效的麻醉方法是:表面麻醉和/或联合前房内麻醉、利多卡因凝胶膜麻醉、表面麻醉加球结膜下麻醉。
The history of cataract surgery, but also the history of cataract surgery anesthesia. Cataract surgery has been more than 2,000 years of history, from needle cataract surgery, extracapsular cataract extraction, intracapsular excision, extracapsular cataract extraction, small incision extracapsular cataract surgery, the development of modern phacoemulsification surgery, the anesthesia But also with the continuous improvement of surgery and the corresponding changes have taken place, from the ball, the perineum, conjunctival, to the surface anesthesia, or even anesthesia, all kinds of anesthesia methods are adapted to the operation came into being, but each anesthesia has Its purpose is to find out the advantages and disadvantages of various anesthetic methods. Through a large number of clinical observations and studies, it is considered more convenient, less complicated and effective and effective anesthesia methods at present are: topical anesthesia and / or combined with anterior chamber anesthesia, lidocaine gel film anesthesia, topical anesthesia plus subconjunctival anesthesia.