CAJ | 학술논문

目的：观察复合性小梁切除联合白内障囊外摘除术治疗绝对期青光眼的效果。方法对31例(31眼)绝对期青光眼施行复合性小梁切除联合白内障囊外摘除术，随访6个月~2年，观察眼压、主观症状变化情况。结果行复合性小梁切除联合白内障囊外摘除术后，高眼压明显缓解，术前眼压平均值(42．00±13．43)mmHg，术后1w出院时眼压平均值为(14．00±5．69)mmHg，术后6个月为(18．00±6．23)mmHg。术后眼压控制较好，与术前比较差异有统计学意义(P<0．01)。患者眼胀、眼痛等主观不适症状减轻，眼球得以保留，且无严重并发症。结论复合性小梁切除联合白内障囊外摘除术是治疗绝对期青光眼更简便、安全、有效的手术选择。
목적：관찰복합성소량절제연합백내장낭외적제술치료절대기청광안적효과。방법대31례(31안)절대기청광안시행복합성소량절제연합백내장낭외적제술，수방6개월~2년，관찰안압、주관증상변화정황。결과행복합성소량절제연합백내장낭외적제술후，고안압명현완해，술전안압평균치(42．00±13．43)mmHg，술후1w출원시안압평균치위(14．00±5．69)mmHg，술후6개월위(18．00±6．23)mmHg。술후안압공제교호，여술전비교차이유통계학의의(P<0．01)。환자안창、안통등주관불괄증상감경，안구득이보류，차무엄중병발증。결론복합성소량절제연합백내장낭외적제술시치료절대기청광안경간편、안전、유효적수술선택。
Objective: To observe the ef ects a ofcompound trabeculectomy with extracapsular cataract extraction in treating absolute glaucoma. Methods:Compound trabeculectomy with extracapsular cataract extraction was performed on 31 eyes with absolute glaucoma.Fol ow-up those patients for 6m to 2y postoperative. Observe the change of intraocular pressure (IOP) subjective symptom. Results:The high IOP decreased after compound trabeculectomy with extracapsular cataract extraction.The mean IOP was (42.00±13.43)mmHg before operation.1 week after the operation and 6months after the operation the mean IOP were(14.00±5.69)mmHg and (18.00±6.23)mmHg. The IOP was contraled wel after operation.The statistic dif erence was found between preoperation and postoperation (P<0.01).The subjective symptom such as ophthalmalgia decreased with the eyebal remaining and no serious complications. Conclusions: It suggested that compound trabeculectomy with extracapsular cataract extraction might be an easy,safe and ef ective method for treating absolute glaucoma.