国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
5期
640-643
,共4页
白内障超声乳化%房角分离术%急性%闭角型青光眼%白内障
白內障超聲乳化%房角分離術%急性%閉角型青光眼%白內障
백내장초성유화%방각분리술%급성%폐각형청광안%백내장
Phacoemulsification%Goniosynechialysis%Acute%Angle-closure glaucoma%Cataract
目的 探讨白内障超声乳化联合房角分离术在急性闭角型青光眼合并白内障中的临床效果.方法 将76例急性闭角型青光眼合并白内障患者随机分为观察组与对照组,每组各38例,对照组患者采用白内障超声乳化吸出+人工晶体植入联合小梁切除术.观察组采用白内障超声乳化联合房角分离术+人工晶体植入术,比较两组患者术后眼压、视力、前房深度及术后并发症情况.结果 观察组患者术后1周[(16.1±2.7) mmHgvs (18.6±19)mmHg]、术后1个月[(16.7±1.8)mmHgvs (17.8±1.6) mmHg)]、术后3个月[(15.3±1.7) mmHg vs (17.5±1.6)mmHg]及术后6个月[(14.6±1.5) mmHg vs(17.2±1.7)mmHg]的眼压均显著低于对照组同期水平,P＜0.05;观察组患者术后1周[(0.554±0.25) vs(0.521 ±0.18)]、术后1个月[(0.623±0.26) vs(0.568±0.21)]、术后3个月[(0.628±0.27) vs(0.624±0.22)]及术后6个月[(0.586±0.23)vs(0.573±0.24)]的视力均显著高于对照组同期水平,P＜ 0.05,观察组患者术后的ACD[(3.406±0.245)mmvs(3.062±0.221)mm]显著高于对照组术后,P＜0.001,两组并发症比较差异无统计学意义,P＞0.05.结论 采用白内障超声乳化吸出+人工晶体植入联合小梁切除术及白内障超声乳化联合房角分离术+人工晶体植入术均是急性闭角型青光眼合并白内障的安全、有效手段,白内障超声乳化联合房角分离术可更好的降低术后眼压、改善视力、增加前房深度.
目的 探討白內障超聲乳化聯閤房角分離術在急性閉角型青光眼閤併白內障中的臨床效果.方法 將76例急性閉角型青光眼閤併白內障患者隨機分為觀察組與對照組,每組各38例,對照組患者採用白內障超聲乳化吸齣+人工晶體植入聯閤小樑切除術.觀察組採用白內障超聲乳化聯閤房角分離術+人工晶體植入術,比較兩組患者術後眼壓、視力、前房深度及術後併髮癥情況.結果 觀察組患者術後1週[(16.1±2.7) mmHgvs (18.6±19)mmHg]、術後1箇月[(16.7±1.8)mmHgvs (17.8±1.6) mmHg)]、術後3箇月[(15.3±1.7) mmHg vs (17.5±1.6)mmHg]及術後6箇月[(14.6±1.5) mmHg vs(17.2±1.7)mmHg]的眼壓均顯著低于對照組同期水平,P＜0.05;觀察組患者術後1週[(0.554±0.25) vs(0.521 ±0.18)]、術後1箇月[(0.623±0.26) vs(0.568±0.21)]、術後3箇月[(0.628±0.27) vs(0.624±0.22)]及術後6箇月[(0.586±0.23)vs(0.573±0.24)]的視力均顯著高于對照組同期水平,P＜ 0.05,觀察組患者術後的ACD[(3.406±0.245)mmvs(3.062±0.221)mm]顯著高于對照組術後,P＜0.001,兩組併髮癥比較差異無統計學意義,P＞0.05.結論 採用白內障超聲乳化吸齣+人工晶體植入聯閤小樑切除術及白內障超聲乳化聯閤房角分離術+人工晶體植入術均是急性閉角型青光眼閤併白內障的安全、有效手段,白內障超聲乳化聯閤房角分離術可更好的降低術後眼壓、改善視力、增加前房深度.
목적 탐토백내장초성유화연합방각분리술재급성폐각형청광안합병백내장중적림상효과.방법 장76례급성폐각형청광안합병백내장환자수궤분위관찰조여대조조,매조각38례,대조조환자채용백내장초성유화흡출+인공정체식입연합소량절제술.관찰조채용백내장초성유화연합방각분리술+인공정체식입술,비교량조환자술후안압、시력、전방심도급술후병발증정황.결과 관찰조환자술후1주[(16.1±2.7) mmHgvs (18.6±19)mmHg]、술후1개월[(16.7±1.8)mmHgvs (17.8±1.6) mmHg)]、술후3개월[(15.3±1.7) mmHg vs (17.5±1.6)mmHg]급술후6개월[(14.6±1.5) mmHg vs(17.2±1.7)mmHg]적안압균현저저우대조조동기수평,P＜0.05;관찰조환자술후1주[(0.554±0.25) vs(0.521 ±0.18)]、술후1개월[(0.623±0.26) vs(0.568±0.21)]、술후3개월[(0.628±0.27) vs(0.624±0.22)]급술후6개월[(0.586±0.23)vs(0.573±0.24)]적시력균현저고우대조조동기수평,P＜ 0.05,관찰조환자술후적ACD[(3.406±0.245)mmvs(3.062±0.221)mm]현저고우대조조술후,P＜0.001,량조병발증비교차이무통계학의의,P＞0.05.결론 채용백내장초성유화흡출+인공정체식입연합소량절제술급백내장초성유화연합방각분리술+인공정체식입술균시급성폐각형청광안합병백내장적안전、유효수단,백내장초성유화연합방각분리술가경호적강저술후안압、개선시력、증가전방심도.
Objective To explore the clinical efficacy of phacoemulsification combined with goniosynechialysis for acute angle-closure glaucoma(ACG) complicated with cataract.Methods 76 patients with ACG complicated with cataract were randomly divided into an observation group and a control group,38 for each group.The control group were treated with cataract phacoemulsification combined intraocular lens implantation and trabeculectomy.The observation group were treated with phacoemulsification combined with goniosychialysis.The IOP,visual acuity,anterior chamber depth,and complications after the operation were compared.Results The IOP 1 week [(16.1 ± 2.7) mmHg vs.(18.6 ± 1.97) mmHg),1 month [(16.7 ± 1.8) mmHg vs.(17.8 ± 1.6) mmHg],3 months [(15.3 ± 1.7) mmHg vs.(17.5 ± 1.6) mmHg],and 6 months [(14.6 ± 1.5) mmHg vs.(17.2 ± 1.7) mmHg] after the operation were significantly lower in the observation group than in the control group,P ＜0.05.The visual acuity 1 week [(0.554 ± 0.250) vs.(0.521 ± 0.18)],1 month[(0.623 ± 0.26) vs.(0.568 ± 0.21)],3 months [(0.628 ± 0.27)vs.(0.624 ± 0.22)] and 6 months [(0.586 ± 0.230) vs.(0.573 ± 0.24)] after the operation were significantly higher in the observation than in the control group,P＜0.05.After the operation,the ACD was significantly lower in the observation group than in the control group[(3.406 ± 0.245) mm vs.(3.062 ± 0.221) mm],P ＜0.001.There was no statistical differences in the incidence of complications after the operation between the two groups.Conclusions Phacoemulsification combined with goniosynechialysis and phacoemulsification combined with intraocular lens implantation and trabeculectomy for ACG complicated with cataract both are safe and effective.Phacoemulsification combined with goniosynechialysis for ACG complicated with cataract can reduce intraocular pressure,improve vision,and increase anterior chamber depth.
