CAJ | 학술논문

目的对超声乳化与小梁切除术治疗闭角型青光眼的临床效果进行比较分析。方法58例闭角型青光眼患者中，应用超声乳化人工晶体植入联合房角分离术方法治疗的患者设立为A组，共32例，其余应用小梁切除术治疗的患者设立为B组，共26例，比较两组患者术前及术后3个月视力恢复情况及眼压变化情况。结果术前A组和B组患者的平均视力差异不显著，术后3个月复查，A组和B组的平均视力均较术前明显改善，且A组术后3个月的平均视力较B组改善更明显，差异有统计学意义（P＜0.05）。术前A组和B组患者的眼压差异不显著，术后3个月复查，A组和B组的眼压均较术前明显降低（P＜0.01），且A组术后3个月的眼压较B组降低更显著，差异有统计学意义（P＜0.05）。结论与传统小梁切除术相比较，超声乳化人工晶体植入联合房角分离术治疗闭角型青光眼效果更好，能明显改善患者的视力，值得推广和应用。
목적대초성유화여소량절제술치료폐각형청광안적림상효과진행비교분석。방법58례폐각형청광안환자중，응용초성유화인공정체식입연합방각분리술방법치료적환자설립위A조，공32례，기여응용소량절제술치료적환자설립위B조，공26례，비교량조환자술전급술후3개월시력회복정황급안압변화정황。결과술전A조화B조환자적평균시력차이불현저，술후3개월복사，A조화B조적평균시력균교술전명현개선，차A조술후3개월적평균시력교B조개선경명현，차이유통계학의의（P＜0.05）。술전A조화B조환자적안압차이불현저，술후3개월복사，A조화B조적안압균교술전명현강저（P＜0.01），차A조술후3개월적안압교B조강저경현저，차이유통계학의의（P＜0.05）。결론여전통소량절제술상비교，초성유화인공정체식입연합방각분리술치료폐각형청광안효과경호，능명현개선환자적시력，치득추엄화응용。
Objective To compare the clinical effect of phacoemulsification and trabeculectomy for angle-closure glaucoma. Methods 58 cases of patients with angle-closure glaucoma,the ultrasound emulsification methods of treatment of patients with established as group A,a total of 32 cases,set up the rest of the application trabeculectomy patients(group B),a total of 26 cases,the two groups were compared surgery before and 3 months after surgery visual acuity and intraocular pressure changes. Results The preoperative group A and group B patients mean visual acuity difference is not significant,significant improvement in mean visual acuity compared with preoperative postoperative 3 months later,group A and group B,and group A after 3 months,mean visual acuity more significant improvements than in group B,the difference was statistically significant(P < 0.05). Preoperative IOP of group A and group B patients the difference was not significant IOP compared with preoperative postoperative 3 months later, group A and group B was significantly lower(P < 0.01) in group A after 3 months the IOP reduced more significantly than in group B,the difference was statistically significant(P<0.05). Conclusion Compared with traditional trabeculectomy,phacoemuls ification treatment of angle-closure glaucoma better, can significantly improve the patient's vision, worthy of promotion and application.