CAJ | 학술논문

目的：研究对闭角型青光眼( PACG )合并白内障患者，在开展小梁切除术的基础上，配合使用超声乳化术的效果，为此类患者的临床治疗提供依据。 　　方法：我院2011-09/2013-09共接受73例PACG合并白内障患者，对所有患者在小梁切除术( TL)的基础上联合使用白内障超声乳化术( UE )进行治疗，观察患者治疗效果。 　　结果：两种手术方法联合，能够在有效控制患者的眼压的基础上，保证其视力恢复效果，且经过手术，患者的中央前房深度得到了有效的加深，同时并未出现任何高危并发症。 　　结论：小梁切除术联合超声乳化术，对于PACG合并白内障患者具有显著的疗效，其眼压控制效果、视力恢复效果、并发症出现率均较优，值得推广使用。
목적：연구대폐각형청광안( PACG )합병백내장환자，재개전소량절제술적기출상，배합사용초성유화술적효과，위차류환자적림상치료제공의거。 　　방법：아원2011-09/2013-09공접수73례PACG합병백내장환자，대소유환자재소량절제술( TL)적기출상연합사용백내장초성유화술( UE )진행치료，관찰환자치료효과。 　　결과：량충수술방법연합，능구재유효공제환자적안압적기출상，보증기시력회복효과，차경과수술，환자적중앙전방심도득도료유효적가심，동시병미출현임하고위병발증。 　　결론：소량절제술연합초성유화술，대우PACG합병백내장환자구유현저적료효，기안압공제효과、시력회복효과、병발증출현솔균교우，치득추엄사용。
AIM: To research the application analysis of trabeculectomy combined with phacoemulsification treating patients with primary angle-closed glaucoma ( PACG) and cataract. METHODS: Seventy-three patients from September, 2011 to September, 2013, with primary angle- closed glaucoma and cataract, were selected in our research. Patients were all treated with trabeculectomy combined with ultrasonic emulsification, and the therapeutic effect was observed. RESULTS: The effects of trabeculectomy combined with phacoemulsification treating primary angle-closed glaucoma and cataract in reducing intraocular pressure were better, and postoperative visual acuity results of the research objects were satisfactory. And it could deepen the central anterior chamber depth effectively. All the research objects had few complications. CONCLUSION: Trabeculectomy combined with phacoemulsification treating primary angle - closed glaucoma and cataract can achieve a good result for reducing intraocular pressure, postoperative visual acuity recovery and correction, and the surgical success rate is high, with low complication rates. It is worthy of widely clinical application.