CAJ | 학술논문

目的：研究白内障超声乳化联合小梁切除术联合人工晶状体植入术(后称三联疗法）治疗青光眼合并白内障的临床效果。方法选择2011年2月-2013年6月该院收治的109例青光眼合并白内障患者进行回顾性研究,所有患者均采用三联疗法治疗,治疗后,对其疗效进行比较分析。结果治疗后,所有患者眼压及裸眼视力较治疗前均显著改善,差异有统计学意义(P<0.05）﹔急性组治疗后眼压改善情况显著优于慢性组,差异有统计学意义(P<0.05）﹔急性组与慢性组手术成功率均较高,分别为93.1%、80.4%,差异有统计学意义(χ2=3.9170,P=0.0478）。结论采用白内障超声乳化联合小梁切除术联合人工晶状体植入术治疗青光眼合并白内障效果显著,尤其针对急性闭角型青光眼合并白内障,效果更佳。
목적：연구백내장초성유화연합소량절제술연합인공정상체식입술(후칭삼련요법）치료청광안합병백내장적림상효과。방법선택2011년2월-2013년6월해원수치적109례청광안합병백내장환자진행회고성연구,소유환자균채용삼련요법치료,치료후,대기료효진행비교분석。결과치료후,소유환자안압급라안시력교치료전균현저개선,차이유통계학의의(P<0.05）﹔급성조치료후안압개선정황현저우우만성조,차이유통계학의의(P<0.05）﹔급성조여만성조수술성공솔균교고,분별위93.1%、80.4%,차이유통계학의의(χ2=3.9170,P=0.0478）。결론채용백내장초성유화연합소량절제술연합인공정상체식입술치료청광안합병백내장효과현저,우기침대급성폐각형청광안합병백내장,효과경가。
Objective To study the clinical results of phacoemulsification and trabeculectomy combined with intraocular lens im-plantation(hereinafter referred to as triple therapy) in the treatment of glaucoma and cataract. Methods 109 patients with glaucoma complicated by cataract admitted in our hospital from February 2011 to June 2013 were selected for the retrospective study. All the patients were treated by the triple therapy. After treatment, the treatment effect was analyzed comparatively. Results After treatment, the intraocular pressure and naked visual acuity of all the patients improved significantly compared with those before treatment (all P<0.05); the improvement in intraocular pressure of the acute group was obviously better than that of the chronic group (P<0.05);the surgical success rate in both groups was high, which was 93.1%, 80.4%in the acute group and chronic group, respectively, and the difference between the groups was statistically significant (χ2=3.9170, P=0.0478). Conclusion In summary, phacoemulsification and trabeculectomy combined with intraocular lens implantation have remarkable effect on glaucoma compli-cated by cataract, and the effect will be better especially on acute angle-closure glaucoma complicated by cataract.