中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
6期
871-872
,共2页
青光眼,闭角型%小梁切除术%超声乳化白内障吸除术%白内障
青光眼,閉角型%小樑切除術%超聲乳化白內障吸除術%白內障
청광안,폐각형%소량절제술%초성유화백내장흡제술%백내장
Glaucoma,angle-closure%Cataract%Trabeculectomy%Phacoemulsification
目的 探讨小梁切除术联合白内障超声乳化吸除术治疗原发性闭角型青光眼并白内障的临床疗效.方法 对56例(56眼)原发性闭角型青光眼合并白内障患者采用晶状体超声乳化吸除联合小梁切除术治疗,观察术前术后视力、眼压、前房角及前房深度、滤过泡及并发症情况.结果 56例(56眼)术前视力:＜0.01者26例、0.1 ～0.2者23例、0.3 ～0.5者6例、＞0.05者1例,术后6个月视力分别为:4例、11例、21例、18例,手术前后视力改善情况差异有统计学意义(Z=-5.074,P＜0.05).术后6个月眼压为(15.26±3.37)mmHg,明显低于术前眼压(34.60±3.85)mm Hg,(t=28.29,P＜0.05).术后6个月前房深度为(3.27±0.64)mm,明显大于术前前房深度(1.58±0.39) mm(t=16.90,P＜0.05).所有患者均有滤过泡形成,无严重并发症.结论 小梁切除术联合白内障超声乳化吸除术可有效地治疗闭角型青光眼合并白内障.
目的 探討小樑切除術聯閤白內障超聲乳化吸除術治療原髮性閉角型青光眼併白內障的臨床療效.方法 對56例(56眼)原髮性閉角型青光眼閤併白內障患者採用晶狀體超聲乳化吸除聯閤小樑切除術治療,觀察術前術後視力、眼壓、前房角及前房深度、濾過泡及併髮癥情況.結果 56例(56眼)術前視力:＜0.01者26例、0.1 ～0.2者23例、0.3 ～0.5者6例、＞0.05者1例,術後6箇月視力分彆為:4例、11例、21例、18例,手術前後視力改善情況差異有統計學意義(Z=-5.074,P＜0.05).術後6箇月眼壓為(15.26±3.37)mmHg,明顯低于術前眼壓(34.60±3.85)mm Hg,(t=28.29,P＜0.05).術後6箇月前房深度為(3.27±0.64)mm,明顯大于術前前房深度(1.58±0.39) mm(t=16.90,P＜0.05).所有患者均有濾過泡形成,無嚴重併髮癥.結論 小樑切除術聯閤白內障超聲乳化吸除術可有效地治療閉角型青光眼閤併白內障.
목적 탐토소량절제술연합백내장초성유화흡제술치료원발성폐각형청광안병백내장적림상료효.방법 대56례(56안)원발성폐각형청광안합병백내장환자채용정상체초성유화흡제연합소량절제술치료,관찰술전술후시력、안압、전방각급전방심도、려과포급병발증정황.결과 56례(56안)술전시력:＜0.01자26례、0.1 ～0.2자23례、0.3 ～0.5자6례、＞0.05자1례,술후6개월시력분별위:4례、11례、21례、18례,수술전후시력개선정황차이유통계학의의(Z=-5.074,P＜0.05).술후6개월안압위(15.26±3.37)mmHg,명현저우술전안압(34.60±3.85)mm Hg,(t=28.29,P＜0.05).술후6개월전방심도위(3.27±0.64)mm,명현대우술전전방심도(1.58±0.39) mm(t=16.90,P＜0.05).소유환자균유려과포형성,무엄중병발증.결론 소량절제술연합백내장초성유화흡제술가유효지치료폐각형청광안합병백내장.
Objective To explore the clinical efficacy of trabeculectomy combined with phacoemulsification in the treatment of angle-closure glaucoma with cataract.Methods 56 cases of angle-closure glaucoma with cataract were selected in department of ophthalmology and were received trabeculectomy combined with phacoemulsification.Preoperative and postoperative visual acuity,intraocular pressure,anterior chamber angle,anterior chamber depth,filtering bleb and complications were observed.Results Six months after operation,53 (94.64％) were improved in visual acuity.There was significant difference between preoperative and postoperative visual acuity( Z =-5.074,P ＜0.05).IOP was( 15.26 ± 3.37 )mm Hg 6 months after operation,which was significant lower than(34.60 ± 3.85 ) mm Hg before operation( t =28.29,P ＜0.05 ).The anterior chamber depth was( 3.27 ± 0.64 ) mm 6 months after operation,which was significant larger than( 1.58 ± 0.39 )mm before operation (t =16.90,P ＜ 0.05 ).All patients had bleb formation with no serious complications.Conclusion Trabeculectomy combined with phacoemulsification was effective in treating angle-closure glaucoma and cataract.
