甘肃医药
甘肅醫藥
감숙의약
Gansu Medical Journal
2015年
1期
14-16
,共3页
小切口%白内障%青光眼%超声乳化
小切口%白內障%青光眼%超聲乳化
소절구%백내장%청광안%초성유화
Small incision%Cataract%glaucoma%Phacoemulsification
目的：对比分析超声乳化和小切口两种不同手术方式治疗白色白内障合并青光眼的临床效果。方法：选取25例30只眼，房角粘连关闭≤1/2的白色白内障并发青光眼患者，随机分为两组，Ⅰ组采用小切口非超声乳化白内障摘除、后房型人工晶状体植入联合虹膜周切12只眼，Ⅱ组白内障超声乳化吸除、后房型人工晶状体植入联合虹膜周切18只眼；观察术前、术后的视力、眼压及并发症情况。结果：术后6个月眼压，Ⅰ组平均为（10.97±0.944）mmHg，Ⅱ组为（11.11±3.45）mmHg，与手术前眼压比较差异均有统计学意义（P＜0.05），两组之间比较无统计学意义（P>0.05）；术后6个月视力，2只眼≤0.1，0.1～0.4者13只眼，0.5～0.8者15只眼，与手术前视力比较差异有统计学意义（P＜0.05）；早期小切口术后反应较重，术后6个月并发症无显著差异。结论：超声乳化和小切口两种不同手术方式治疗白色白内障合并青光眼的临床效果无显著性差异，均可改善患者视力，有效控制眼压。
目的：對比分析超聲乳化和小切口兩種不同手術方式治療白色白內障閤併青光眼的臨床效果。方法：選取25例30隻眼，房角粘連關閉≤1/2的白色白內障併髮青光眼患者，隨機分為兩組，Ⅰ組採用小切口非超聲乳化白內障摘除、後房型人工晶狀體植入聯閤虹膜週切12隻眼，Ⅱ組白內障超聲乳化吸除、後房型人工晶狀體植入聯閤虹膜週切18隻眼；觀察術前、術後的視力、眼壓及併髮癥情況。結果：術後6箇月眼壓，Ⅰ組平均為（10.97±0.944）mmHg，Ⅱ組為（11.11±3.45）mmHg，與手術前眼壓比較差異均有統計學意義（P＜0.05），兩組之間比較無統計學意義（P>0.05）；術後6箇月視力，2隻眼≤0.1，0.1～0.4者13隻眼，0.5～0.8者15隻眼，與手術前視力比較差異有統計學意義（P＜0.05）；早期小切口術後反應較重，術後6箇月併髮癥無顯著差異。結論：超聲乳化和小切口兩種不同手術方式治療白色白內障閤併青光眼的臨床效果無顯著性差異，均可改善患者視力，有效控製眼壓。
목적：대비분석초성유화화소절구량충불동수술방식치료백색백내장합병청광안적림상효과。방법：선취25례30지안，방각점련관폐≤1/2적백색백내장병발청광안환자，수궤분위량조，Ⅰ조채용소절구비초성유화백내장적제、후방형인공정상체식입연합홍막주절12지안，Ⅱ조백내장초성유화흡제、후방형인공정상체식입연합홍막주절18지안；관찰술전、술후적시력、안압급병발증정황。결과：술후6개월안압，Ⅰ조평균위（10.97±0.944）mmHg，Ⅱ조위（11.11±3.45）mmHg，여수술전안압비교차이균유통계학의의（P＜0.05），량조지간비교무통계학의의（P>0.05）；술후6개월시력，2지안≤0.1，0.1～0.4자13지안，0.5～0.8자15지안，여수술전시력비교차이유통계학의의（P＜0.05）；조기소절구술후반응교중，술후6개월병발증무현저차이。결론：초성유화화소절구량충불동수술방식치료백색백내장합병청광안적림상효과무현저성차이，균가개선환자시력，유효공제안압。
Objective: To compare and analyze the therapeutic effects of phacoemulsification and small incision cataract surgery on the treatment of white cataract combined with glaucoma. Methods:25 patients(30 eyes) diagnosed white cataract combined with glaucoma with angle closure less than 1/2, were randomly divided into two groups. The group I (12 eyes) received small incision cataract surgery and intraocular lens implantation combined with peripheral iridotomy while the group Ⅱ (18 eyes)received phacoemulsification and intraocular lens implantation combined with peripheral iridotomy . Then the follow-up went for 6 months and the visual acuity , intraocular pressure (IOP) preoperative and postoperative, and the complications were compared and analyzed.Results: Paired t-tests were used in the analyses. During the 6-month follow-up, the average IOP of both groups (group I 10.97 ±0.944mmHg; group II 11.11±3.45mmHg) were significantly(P<0.05) lower than that pre-treated, however, there was no significant(P>0.05) difference in average IOP between group I and group II after the treatments. Furthermore, the visual acuity was equal or less than 0.1 in 2 eyes, ranged form 0.1 to 0.4 in 13 eyes and form 0.5 to 0.8 in 15 eyes. The visual acuity postoperative significantly (P<0.05) increased compared with that preoperative . Concurrently , there was no significant difference in the complications events between group I and group II after the treatments . Conclusion: There is no significant difference in the therapeutic effects on the treatment of white cataract combined with glaucoma between phacoemulsification and small incision cataract surgery . Both methods are effective and safe surgeries to improve visual acuity and decrease IOP in the patients diagnosed white cataract combined with glaucoma .
