中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
34期
37-38,39
,共3页
急性闭角型青光眼%白内障%术式
急性閉角型青光眼%白內障%術式
급성폐각형청광안%백내장%술식
Acute angle-closure glaucoma%Cataract%Operation
目的：利用不同术式对急性闭角型青光眼合并白内障进行治疗并比较其疗效。方法：68例（71眼）青光眼合并白内障患者按照就诊顺序以双盲法随机分为A组34例（35眼）和B组34例（36眼），A组采用单纯小梁切除术，B组采用青白联合手术，观察比较术前、术后眼压和视力，并注意随访观察两组并发症情况和疗效。结果：A组有效率97.14%，B组有效率97.22%，两组优良率比较差异无统计学意义（Ridit z=4.264，P=0.089）；术后两组患者眼压、视力与术前相比均有好转（P<0.05），且A组眼压（15.74±6.85）mm Hg明显高于B组（12.65±4.74）mm Hg，差异有统计学意义（P<0.05），A组视力（0.29±0.18）D明显低于B组（0.71±0.35）D，差异有统计学意义（P<0.05）；A组出现并发症5眼（14.28%），B组出现并发症6眼（16.67%），两组并发症情况比较差异无统计学意义（Fisher P=0.091）。结论：对急性闭角型青光眼合并白内障患者，可选择联合手术，以提高患者术后视力，保证手术疗效和临床效果。
目的：利用不同術式對急性閉角型青光眼閤併白內障進行治療併比較其療效。方法：68例（71眼）青光眼閤併白內障患者按照就診順序以雙盲法隨機分為A組34例（35眼）和B組34例（36眼），A組採用單純小樑切除術，B組採用青白聯閤手術，觀察比較術前、術後眼壓和視力，併註意隨訪觀察兩組併髮癥情況和療效。結果：A組有效率97.14%，B組有效率97.22%，兩組優良率比較差異無統計學意義（Ridit z=4.264，P=0.089）；術後兩組患者眼壓、視力與術前相比均有好轉（P<0.05），且A組眼壓（15.74±6.85）mm Hg明顯高于B組（12.65±4.74）mm Hg，差異有統計學意義（P<0.05），A組視力（0.29±0.18）D明顯低于B組（0.71±0.35）D，差異有統計學意義（P<0.05）；A組齣現併髮癥5眼（14.28%），B組齣現併髮癥6眼（16.67%），兩組併髮癥情況比較差異無統計學意義（Fisher P=0.091）。結論：對急性閉角型青光眼閤併白內障患者，可選擇聯閤手術，以提高患者術後視力，保證手術療效和臨床效果。
목적：이용불동술식대급성폐각형청광안합병백내장진행치료병비교기료효。방법：68례（71안）청광안합병백내장환자안조취진순서이쌍맹법수궤분위A조34례（35안）화B조34례（36안），A조채용단순소량절제술，B조채용청백연합수술，관찰비교술전、술후안압화시력，병주의수방관찰량조병발증정황화료효。결과：A조유효솔97.14%，B조유효솔97.22%，량조우량솔비교차이무통계학의의（Ridit z=4.264，P=0.089）；술후량조환자안압、시력여술전상비균유호전（P<0.05），차A조안압（15.74±6.85）mm Hg명현고우B조（12.65±4.74）mm Hg，차이유통계학의의（P<0.05），A조시력（0.29±0.18）D명현저우B조（0.71±0.35）D，차이유통계학의의（P<0.05）；A조출현병발증5안（14.28%），B조출현병발증6안（16.67%），량조병발증정황비교차이무통계학의의（Fisher P=0.091）。결론：대급성폐각형청광안합병백내장환자，가선택연합수술，이제고환자술후시력，보증수술료효화림상효과。
Objective:To use different operative methods for treatment of acute angle-closure glaucoma with cataract and compare the curative effect.Method:Sixty-eight patients(71 eyes)with glaucoma with cataract were randomly divided into the group A for 34 cases(35 eyes)and the group B for 34 cases(36 eyes)by double-blind method according to the order of the treatment.The group A was treated with simple trabeculectomy,the group B was treated with glaucoma-cataract joint operation,the intraocular pressure and visual acuity of pre-operation and post-operation were observed and compared,and paid attention to observing complication and curative effect in the two groups at the time of follow-up.Result:Effective rate of the Group A was 97.14%,effective rate of the group B was 97.22%,the differences in excellent rate between the two groups had no statistical significance(Ridit z=4.264,P=0.089);Compared with preoperative,the intraocular pressure,vision of two groups of patients were improved after surgery(P<0.05).And intraocular pressure of the group A(15.74±6.85)mm Hg was higher than group B(12.65±4.74)mm Hg,the difference was statistically significant (P<0.05);Vision of the Group A(0.29±0.18)D was lower than group B(0.71±0.35)D,the difference was statistically significant(P<0.05);5 eyes in group A with complications(14.28%),6 eyes in group B with complications(16.67%),there was no statistically significant difference in the two groups(Fisher P=0.091).Conclusion:For patients with acute angle-closure glaucoma with cataract,can choose the joint surgery,in order to improve the patients postoperative visual acuity,ensure the operation effect and clinical effect.
