重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
13期
1576-1578
,共3页
白内障%青光眼%联合手术
白內障%青光眼%聯閤手術
백내장%청광안%연합수술
cataract%glaucoma%combined surgery
目的：探讨小切口白内障非超声乳化囊外摘出后房型人工晶状体囊袋内植入联合小梁切除术（以下简称青白联合手术）治疗青光眼合并白内障的手术方法及临床疗效。方法对45例47眼青光眼合并白内障患者施行青白联合手术，术后观察术眼视力、眼压、滤过泡及术后并发症情况，术后随访3～24个月。结果术前术后视力及眼压比较差异有统计学意义（P＜0．05），术后视力均较术前有不同程度的提高，小于0．02°5眼，占10．64％；0．02°～0．60°30眼，占63．83％；大于0．60°12眼，占25．53％；眼压控制在正常范围者39眼，占83．00％；8眼术后眼压在26mmHg左右。40眼（85．00％）形成弥散扁平的功能性滤过。其中，Ⅰ型滤过泡18眼，Ⅱ型滤过泡32眼。并发症：暂时性角膜水肿12眼，早期浅前房4眼，前房出血3眼，人工晶状体夹持1眼。术中术后未见严重的并发症。结论青白联合手术治疗青光眼合并白内障可以有效控制眼压和恢复有用视力，并发症少，操作简单，安全，投入少，费用低，适合在基层医院开展。
目的：探討小切口白內障非超聲乳化囊外摘齣後房型人工晶狀體囊袋內植入聯閤小樑切除術（以下簡稱青白聯閤手術）治療青光眼閤併白內障的手術方法及臨床療效。方法對45例47眼青光眼閤併白內障患者施行青白聯閤手術，術後觀察術眼視力、眼壓、濾過泡及術後併髮癥情況，術後隨訪3～24箇月。結果術前術後視力及眼壓比較差異有統計學意義（P＜0．05），術後視力均較術前有不同程度的提高，小于0．02°5眼，佔10．64％；0．02°～0．60°30眼，佔63．83％；大于0．60°12眼，佔25．53％；眼壓控製在正常範圍者39眼，佔83．00％；8眼術後眼壓在26mmHg左右。40眼（85．00％）形成瀰散扁平的功能性濾過。其中，Ⅰ型濾過泡18眼，Ⅱ型濾過泡32眼。併髮癥：暫時性角膜水腫12眼，早期淺前房4眼，前房齣血3眼，人工晶狀體夾持1眼。術中術後未見嚴重的併髮癥。結論青白聯閤手術治療青光眼閤併白內障可以有效控製眼壓和恢複有用視力，併髮癥少，操作簡單，安全，投入少，費用低，適閤在基層醫院開展。
목적：탐토소절구백내장비초성유화낭외적출후방형인공정상체낭대내식입연합소량절제술（이하간칭청백연합수술）치료청광안합병백내장적수술방법급림상료효。방법대45례47안청광안합병백내장환자시행청백연합수술，술후관찰술안시력、안압、려과포급술후병발증정황，술후수방3～24개월。결과술전술후시력급안압비교차이유통계학의의（P＜0．05），술후시력균교술전유불동정도적제고，소우0．02°5안，점10．64％；0．02°～0．60°30안，점63．83％；대우0．60°12안，점25．53％；안압공제재정상범위자39안，점83．00％；8안술후안압재26mmHg좌우。40안（85．00％）형성미산편평적공능성려과。기중，Ⅰ형려과포18안，Ⅱ형려과포32안。병발증：잠시성각막수종12안，조기천전방4안，전방출혈3안，인공정상체협지1안。술중술후미견엄중적병발증。결론청백연합수술치료청광안합병백내장가이유효공제안압화회복유용시력，병발증소，조작간단，안전，투입소，비용저，괄합재기층의원개전。
Objective To explore non-phacoemulsification small incision extracapsular cataract extraction,the capsular bag IOL implantation and trabeculectomy(hereinafter referred to as plainer combined surgery)treatment of glaucoma and cataract surgical method and clinical efficacy.Methods Operated to 45 patients with 47 white combined glaucoma and cataract combined surgery,in-traoperative visual acuity,intraocular pressure,bleb,and postoperative complications,followed postoperative up for 3 months to 24 months.Results The preoperative and postoperative visual acuity and intraocular pressure difference was statistically significant (P<0.05),compared with preoperative visual acuity improved to varying degrees,<0.02°,5 eyes,accounting for 10.64%;0.02°-0.60°30 eyes,accounting for 63.83%;> 0.60°12 eyes,accounting for 25.53%;IOP control in the normal range by 39,accounting for 83.00%;8 postoperative IOP at 26 mm Hg or so.40 eyes(85.00%)to form a flat diffuse functional filtration.Where type blebⅠ 18,type blebⅡ 32.Complications:transient corneal edema 12,early shallow anterior chamber 4,hyphema 3,holding an intraocu-lar lens.No serious intraoperative and postoperative complications.Conclusion The surgical treatment of glaucoma and cataracts can control intraocular pressure effectively and restore useful vision with fewer complications,simple,safe,less investment,low cost,suitable by using in primary hospital.
