中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
14期
28-29
,共2页
三联手术%青光眼%白内障%视力%眼压%并发症
三聯手術%青光眼%白內障%視力%眼壓%併髮癥
삼련수술%청광안%백내장%시력%안압%병발증
Triple surgery%Glaucoma%Cataract%Vision%Intraocular pressure%Complications
目的：研究并分析三联手术在治疗青光眼并白内障方面的临床效果与价值。方法选取我院于2012年5月至2013年5月所收治的青光眼合并白内障患者共计80例（86眼）为研究对象。上述患者均采取三联手术治疗方案。三联手术完成后，对80例患者进行为期6个月的随访调查。对患者术前、术后的视力情况、眼压情况、术后并发症情况进行综合对比与分析。结果从视力情况角度上来说，患者术后6个月裸眼状态下视力检测结果明显高于术前；从眼压情况角度上来说，患者术前平均眼压为（25.91±5.87）mm Hg，术后随访6个月内平均眼压为（10.51±3.48）mm Hg，术后眼压明显低于术前；从术后并发症的角度上来说，共有5例患者出现并发症，并发症发生率为6.25%，通过合理的治疗，均在7 d内恢复常态。上述数据对比差异显著（P＜0.05），具有统计学意义。结论三联手术治疗青光眼白内障疗效确切，能够显著提高患者视力，降低眼压，且治疗过程中并发症发生率较低，安全性高，值得进一步应用与推广。
目的：研究併分析三聯手術在治療青光眼併白內障方麵的臨床效果與價值。方法選取我院于2012年5月至2013年5月所收治的青光眼閤併白內障患者共計80例（86眼）為研究對象。上述患者均採取三聯手術治療方案。三聯手術完成後，對80例患者進行為期6箇月的隨訪調查。對患者術前、術後的視力情況、眼壓情況、術後併髮癥情況進行綜閤對比與分析。結果從視力情況角度上來說，患者術後6箇月裸眼狀態下視力檢測結果明顯高于術前；從眼壓情況角度上來說，患者術前平均眼壓為（25.91±5.87）mm Hg，術後隨訪6箇月內平均眼壓為（10.51±3.48）mm Hg，術後眼壓明顯低于術前；從術後併髮癥的角度上來說，共有5例患者齣現併髮癥，併髮癥髮生率為6.25%，通過閤理的治療，均在7 d內恢複常態。上述數據對比差異顯著（P＜0.05），具有統計學意義。結論三聯手術治療青光眼白內障療效確切，能夠顯著提高患者視力，降低眼壓，且治療過程中併髮癥髮生率較低，安全性高，值得進一步應用與推廣。
목적：연구병분석삼련수술재치료청광안병백내장방면적림상효과여개치。방법선취아원우2012년5월지2013년5월소수치적청광안합병백내장환자공계80례（86안）위연구대상。상술환자균채취삼련수술치료방안。삼련수술완성후，대80례환자진행위기6개월적수방조사。대환자술전、술후적시력정황、안압정황、술후병발증정황진행종합대비여분석。결과종시력정황각도상래설，환자술후6개월라안상태하시력검측결과명현고우술전；종안압정황각도상래설，환자술전평균안압위（25.91±5.87）mm Hg，술후수방6개월내평균안압위（10.51±3.48）mm Hg，술후안압명현저우술전；종술후병발증적각도상래설，공유5례환자출현병발증，병발증발생솔위6.25%，통과합리적치료，균재7 d내회복상태。상술수거대비차이현저（P＜0.05），구유통계학의의。결론삼련수술치료청광안백내장료효학절，능구현저제고환자시력，강저안압，차치료과정중병발증발생솔교저，안전성고，치득진일보응용여추엄。
Objective To study the clinical effect and value of triple operation in the treatment of glaucoma and cataract. Methods In our hospital inform May 2012 to May 2013 glaucoma with cataract patients with a total of 80 cases (86 eyes) as the research object. The patients were treated by triple operation treatment. Triple operation is completed, were followed for 6 months in 80 patients. Preoperative, postoperative visual acuity, intraocular pressure, postoperative complications were compared and analyzed. Results From the visual point of view, patients after 6 months, the naked eye state vision detection results were significantly higher than the preoperative IOP;from the point of view, the average intraocular pressure in patients with preoperative was (25.91± 5.87) mm Hg, within 6 months after operation the average intraocular pressure was (10.51±3.48) mm Hg, the intraocular pressure was significantly lower than the preoperative and postoperative complications;from the point of view, a total of 5 patients had complications, the incidence of complications was 6.25%, through the reasonable treatment, were restored to normal in 7 days. The data difference significant (P<0.05), with statistical significance. Conclusion The curative effect of triple operation treatment of cataract and glaucoma is exact, can significantly improve the visual acuity, intraocular pressure reduction, and the course of treatment in a low incidence of complications, high safety, worthy of further application and popularization.
