国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
16期
2557-2560
,共4页
黄家林%刘斌%欧武%严静熙%潘普济
黃傢林%劉斌%歐武%嚴靜熙%潘普濟
황가림%류빈%구무%엄정희%반보제
闭角型青光眼%小切口非超声乳化白内障摘除术%超声乳化白内障摘除术
閉角型青光眼%小切口非超聲乳化白內障摘除術%超聲乳化白內障摘除術
폐각형청광안%소절구비초성유화백내장적제술%초성유화백내장적제술
Angle-closure glaucoma%Small incision non-phacoemulsification cataract surgery%Phacoemulsification
目的 探讨闭角型青光眼合并白内障两种手术方式的疗效比较.方法 将原发性闭角型青光眼合并白内障(房角关闭＜ 180度)患者76例随机数字表法分成两组:A组39例,行超声乳化白内障摘除术；B组37例,行小切口非超声乳化(无缝线手法娩核)白内障摘除术,监测术前和术后1周、1月、3月、6月的眼压,术后1周、1月、3月矫正视力,并比较两组患者的术中、术后并发症.结果 A、B两组眼压较术前下降,两组差异无统计学意义；术后1月,非超声乳化白内障摘除术后1W视力≥0.3者30眼,占总数的76.92％,超声乳化白内障摘除术后1W视力≥0.3者33眼,占总数的89.2％,两组经方差分析差异有统计学意义(P＜0.05)；小切口非超声乳化组明显虹膜损伤6例,占总数的15.38％,而超声乳化组虹膜损伤2例,占总数的5.41％,经方差分析两组差异统计学有意义(P＜0.05).结论 原发性闭角型青光眼合并白内障患者选用小切口非超声乳化(无缝线手法娩核)或超声乳化白内障摘除术均可控制眼压,但术后1个月后超声乳化组比小切口非超声乳化组视力好、虹膜损伤少.
目的 探討閉角型青光眼閤併白內障兩種手術方式的療效比較.方法 將原髮性閉角型青光眼閤併白內障(房角關閉＜ 180度)患者76例隨機數字錶法分成兩組:A組39例,行超聲乳化白內障摘除術；B組37例,行小切口非超聲乳化(無縫線手法娩覈)白內障摘除術,鑑測術前和術後1週、1月、3月、6月的眼壓,術後1週、1月、3月矯正視力,併比較兩組患者的術中、術後併髮癥.結果 A、B兩組眼壓較術前下降,兩組差異無統計學意義；術後1月,非超聲乳化白內障摘除術後1W視力≥0.3者30眼,佔總數的76.92％,超聲乳化白內障摘除術後1W視力≥0.3者33眼,佔總數的89.2％,兩組經方差分析差異有統計學意義(P＜0.05)；小切口非超聲乳化組明顯虹膜損傷6例,佔總數的15.38％,而超聲乳化組虹膜損傷2例,佔總數的5.41％,經方差分析兩組差異統計學有意義(P＜0.05).結論 原髮性閉角型青光眼閤併白內障患者選用小切口非超聲乳化(無縫線手法娩覈)或超聲乳化白內障摘除術均可控製眼壓,但術後1箇月後超聲乳化組比小切口非超聲乳化組視力好、虹膜損傷少.
목적 탐토폐각형청광안합병백내장량충수술방식적료효비교.방법 장원발성폐각형청광안합병백내장(방각관폐＜ 180도)환자76례수궤수자표법분성량조:A조39례,행초성유화백내장적제술；B조37례,행소절구비초성유화(무봉선수법면핵)백내장적제술,감측술전화술후1주、1월、3월、6월적안압,술후1주、1월、3월교정시력,병비교량조환자적술중、술후병발증.결과 A、B량조안압교술전하강,량조차이무통계학의의；술후1월,비초성유화백내장적제술후1W시력≥0.3자30안,점총수적76.92％,초성유화백내장적제술후1W시력≥0.3자33안,점총수적89.2％,량조경방차분석차이유통계학의의(P＜0.05)；소절구비초성유화조명현홍막손상6례,점총수적15.38％,이초성유화조홍막손상2례,점총수적5.41％,경방차분석량조차이통계학유의의(P＜0.05).결론 원발성폐각형청광안합병백내장환자선용소절구비초성유화(무봉선수법면핵)혹초성유화백내장적제술균가공제안압,단술후1개월후초성유화조비소절구비초성유화조시력호、홍막손상소.
Objective To compare the curative effects of two surgical treatment methods for angle-closure glaucoma and cataract patients.Methods 76 patients with primary angle-closure glaucoma (＜180 degrees angle closure) and cataract were randomly divided into two groups A and B,with 37 cases in each group,they underwent phacoemulsification and small incision non-phacoemulsification cataract surgery respectively.We observed the intraocular pressure of preoperative and postoperative 1 week,1 month,3 months and 6 months,the corrected visual acuity of postoperative 1 week,1 month,3 months and 6 months were also observed,and the intraoperative and postoperative complications were compared.Resuhs Intraocular pressure was reduced compared with that before surgery in two groups,the difference was not statistically significant.After 1 month,non-phacoemulsification cataract extraction visual acuity ≥ 0.3 by 30 eyes(76.9％),phacoemulsification cataract visual acuity ≥ 0.3 by 33 eyes(89.2％),it was statistically significant (P＜0.05); 6 cases (15.38％) were significantly iris damage in group B,there were 2 cases (5.41％) in group A,it was statistically significant (P＜0.05).Conclusion Small incision nonphacoemulsification cataract surgery and phacoemulsification both can control the intraocular pressure of primary angleclosure glaucoma,but the visual acuity is better with less iris damage in phacoemulsification group.
