国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
736-738
,共3页
张亦田%郭灿新%张远超%司马晶
張亦田%郭燦新%張遠超%司馬晶
장역전%곽찬신%장원초%사마정
小切口白内障摘除%人工晶状体植入%急性闭角型青光眼
小切口白內障摘除%人工晶狀體植入%急性閉角型青光眼
소절구백내장적제%인공정상체식입%급성폐각형청광안
small incision cataract extraction%intraocular lens implantation%acute angle -closure glaucoma
目的：探讨小切口白内障摘除用于治疗急性闭角型青光眼合并白内障患者的临床疗效与价值。<br> 方法：选取2012-05／2013-11我院收治的60例急性闭角型青光眼合并白内障患者作为观察对象，随机分为A组、B组、C组，每组各20例。 A组行抗青光眼手术治疗， B组采用青光眼白内障联合手术，C组采用单纯小切口白内障摘除联合人工晶状体植入术治疗。观察三组患者术前、术后眼压、前房深度、前房角、视乳头C／D比值改变及矫正视力、并发症的发生、住院时间、成本效益及学习曲线等指标。<br> 结果：三组患者入院时及用药后眼压均无明显差别（P＞0．05）；经不同手术方式后，C组眼压显著优于A组和B组（P＜0．05）；不同手术后，患者矫正视力均发生改变，A组和B组比较差异无显著性（P＞0．05），C组明显优于A组和B组（P＜0．05）；A组和B组并发症比较，差异无显著性（P＞0．05），C组并发症明显少于A组和B两组（P＜0．05）。<br> 结论：小切口白内障摘除术治疗急性闭角型青光眼恢复时间快，创口小，疗效显著且并发症少，能够有效提高疾病治愈率，改善患者生活质量，无需昂贵的医疗设备，学习曲线短，费用低，值得临床推广使用。
目的：探討小切口白內障摘除用于治療急性閉角型青光眼閤併白內障患者的臨床療效與價值。<br> 方法：選取2012-05／2013-11我院收治的60例急性閉角型青光眼閤併白內障患者作為觀察對象，隨機分為A組、B組、C組，每組各20例。 A組行抗青光眼手術治療， B組採用青光眼白內障聯閤手術，C組採用單純小切口白內障摘除聯閤人工晶狀體植入術治療。觀察三組患者術前、術後眼壓、前房深度、前房角、視乳頭C／D比值改變及矯正視力、併髮癥的髮生、住院時間、成本效益及學習麯線等指標。<br> 結果：三組患者入院時及用藥後眼壓均無明顯差彆（P＞0．05）；經不同手術方式後，C組眼壓顯著優于A組和B組（P＜0．05）；不同手術後，患者矯正視力均髮生改變，A組和B組比較差異無顯著性（P＞0．05），C組明顯優于A組和B組（P＜0．05）；A組和B組併髮癥比較，差異無顯著性（P＞0．05），C組併髮癥明顯少于A組和B兩組（P＜0．05）。<br> 結論：小切口白內障摘除術治療急性閉角型青光眼恢複時間快，創口小，療效顯著且併髮癥少，能夠有效提高疾病治愈率，改善患者生活質量，無需昂貴的醫療設備，學習麯線短，費用低，值得臨床推廣使用。
목적：탐토소절구백내장적제용우치료급성폐각형청광안합병백내장환자적림상료효여개치。<br> 방법：선취2012-05／2013-11아원수치적60례급성폐각형청광안합병백내장환자작위관찰대상，수궤분위A조、B조、C조，매조각20례。 A조행항청광안수술치료， B조채용청광안백내장연합수술，C조채용단순소절구백내장적제연합인공정상체식입술치료。관찰삼조환자술전、술후안압、전방심도、전방각、시유두C／D비치개변급교정시력、병발증적발생、주원시간、성본효익급학습곡선등지표。<br> 결과：삼조환자입원시급용약후안압균무명현차별（P＞0．05）；경불동수술방식후，C조안압현저우우A조화B조（P＜0．05）；불동수술후，환자교정시력균발생개변，A조화B조비교차이무현저성（P＞0．05），C조명현우우A조화B조（P＜0．05）；A조화B조병발증비교，차이무현저성（P＞0．05），C조병발증명현소우A조화B량조（P＜0．05）。<br> 결론：소절구백내장적제술치료급성폐각형청광안회복시간쾌，창구소，료효현저차병발증소，능구유효제고질병치유솔，개선환자생활질량，무수앙귀적의료설비，학습곡선단，비용저，치득림상추엄사용。
AIM: To investigate the clinical curative effects and value of small incision cataract extraction in the treatment of acute angle-closure glaucoma and cataract. <br> METHODS:A total of 60 cases of acute angle-closure glaucoma with cataract patients in our hospital from May 2012 to November 2013 were selected as the study objects, and randomly divided into Group A, B and C, each group contained 20 cases ( eyes ) .Group A were given anti -glaucoma surgery, Group B were given glaucoma and cataract surgery, while Group C were given simple small incision cataract extraction and intraocular lens implantation.The IOP, anterior chamber depth, anterior chamber angle, papilledema C /D ratio change, and corrected visual acuity, complications, hospital stay, cost-effectiveness and the learning curve and other indicators before and after the treatment of these three groups were compared. <br> RESULTS: Three groups of patients on admission and there was no significant difference in IOP after treatment (P>0.05); through different surgical methods, IOP of group C was significantly better than that in group A and group B ( P<0.05 ); after surgery, the difference of patients with correction change in visual acuity between group A and group B was not significant (P>0.05), while group C was significantly better in group A and group B (P<0.05); compared the complications of group A and group B , there was no significant difference (P>0.05), group C had significantly less complications than group A and group B (P<0.05). <br> CONCLUSION: The small incision cataract surgery for acute angle-closure glaucoma has faster recovery, a small wound, a significant effect and fewer complications.It can effectively improve the cure rate of the disease and improve patient quality of life.Medical equipment is not expensive, the learning curve is short, the cost is low, and it is worthy of clinical use.
