目的评价儿童白内障摘出及人工晶状体植入术后的临床疗效。方法回顾性分析64例（80眼）12岁以下儿童先天性或外伤性白内障手术，植入人工晶状体45眼，术后随访26例（34眼），随访时间6月～4年。结果术后单眼脱盲率82．8％，脱残率34．5％。术后主要并发症明显高于成年人，主要为后囊混浊，人工晶状体夹持或／和偏位。结论儿童白内障术后各个环节均不可忽视，强调术后随访、屈光矫正和及时弱视治疗的重要性。 Objective To evaluate the clinical efficacy of cataract extraction and intraocular lens implantation in children. Methods Retrospective analysis of 64 cases (80 eyes) of children under 12 years of age congenital or traumatic cataract surgery, 45 cases of intraocular lens implantation, followed up 26 cases (34 eyes), followed up for 6 months to 4 years. Results The rate of monocular blindness was 82.8% and the disability rate was 34.5%. Postoperative major complications were significantly higher than in adults, mainly posterior capsular opacification, intraocular lens clamping or / and deviation. Conclusion All aspects of cataract surgery in children can not be ignored, emphasizing the importance of postoperative follow-up, refractive correction and timely amblyopia treatment.