CAJ | 학술논문

目的：比较三种手术方式治疗青光眼并白内障的适应证和临床疗效。方法90例青光眼并白内障患者按数字表法随机分为A、B、C三组，A组患者行单纯白内障超声乳化加人工晶状体植入术治疗，B组患者行白内障超声乳化加人工晶状体植入联合虹膜根切术治疗，C组患者行白内障超声乳化加人工晶状体植入联合小梁咬切除术治疗，比较三组患者临床疗效。结果三组患者手术治疗前裸眼视力对比差异无统计学意义（P＞0．05），经过手术治疗，所有患者的裸眼视力均有所改善，且三组患者的术后视力对比差异无统计学意义（P＞0．05）。三组患者术前、手术后1周、手术后6个月眼压差异均无统计学意义（均P＞0．05）；同组患者手术前后不同时点眼压差异均有统计学意义（均P＜0．05）。三组术后患者的虹膜根部较为平坦，房角有所增宽，且存留周边虹膜处黏膜面积有所缩小，可见范围变大；未发生严重并发症。结论青光眼并白内障患者接受三种手术方式治疗，均能够显著改善患者的视力情况，因而具有较高的临床应用价值。
목적：비교삼충수술방식치료청광안병백내장적괄응증화림상료효。방법90례청광안병백내장환자안수자표법수궤분위A、B、C삼조，A조환자행단순백내장초성유화가인공정상체식입술치료，B조환자행백내장초성유화가인공정상체식입연합홍막근절술치료，C조환자행백내장초성유화가인공정상체식입연합소량교절제술치료，비교삼조환자림상료효。결과삼조환자수술치료전라안시력대비차이무통계학의의（P＞0．05），경과수술치료，소유환자적라안시력균유소개선，차삼조환자적술후시력대비차이무통계학의의（P＞0．05）。삼조환자술전、수술후1주、수술후6개월안압차이균무통계학의의（균P＞0．05）；동조환자수술전후불동시점안압차이균유통계학의의（균P＜0．05）。삼조술후환자적홍막근부교위평탄，방각유소증관，차존류주변홍막처점막면적유소축소，가견범위변대；미발생엄중병발증。결론청광안병백내장환자접수삼충수술방식치료，균능구현저개선환자적시력정황，인이구유교고적림상응용개치。
Objective To compare three kinds of operation method in the treatment of glaucoma with cata-ract indications and clinical efficacy .Methods 90 patients with glaucoma combined with cataract were randomly divided into A,B,C three groups,patients in group A underwent phacoemulsification and IOL implantation therapy , patients in group B underwent phacoemulsification and IOL implantation combined with peripheral iridectomy treat -ment,patients in group C underwent phacoemulsification and IOL implantation and trabecular bite resection ,compared three groups of patients with clinical curative effect The .Results of three groups of patients before treatment and operation visual acuity compared to no significant difference (P>0.05),the treatment after operation,all patients vis-ual acuity was improved ,no significant difference in visual contrast and three group of patients after operation ( P>0.05).Three groups of patients before operation ,1 week after operation,6 months after the IOP had no statistically significant difference ( P>0.05);the same group of patients before and after operation in different time points .The intraocular pressure had significant differences (P<0.05).Three groups of patients with postoperative iris root is rela-tively flat,wide angle increases,and the remaining peripheral iris mucosal area has been narrowed ,visible range be-come larger;no serious complication occurred .Conclusion Glaucoma patients with cataract treated with three kinds of operation mode ,can significantly improve the visual acuity of patients ,so it has high value in clinical application .