中国医学前沿杂志(电子版)
中國醫學前沿雜誌(電子版)
중국의학전연잡지(전자판)
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2015年
3期
111-113
,共3页
青光眼%白内障%白内障超声乳化摘除%人工晶体植入
青光眼%白內障%白內障超聲乳化摘除%人工晶體植入
청광안%백내장%백내장초성유화적제%인공정체식입
Glaucoma%Cataract%Phacoemulsiifcation%Intraocular lens implantation
目的:探讨人工晶体植入术、青光眼小梁切除术联合白内障超声乳化摘除术治疗青光眼合并白内障的临床效果。方法选取2009年12月至2014年4月本院收治的青光眼合并白内障患者82例,按照患者就诊时间分为观察组与对照组,每组各41例。观察组患者行人工晶体植入术、青光眼小梁切除术及白内障超声乳化摘除术治疗,对照组患者行人工晶体植入术、青光眼小梁切除术及白内障囊外摘除术治疗。观察并比较两组患者术后1、2、4周视力、眼压、散光度。结果观察组患者手术减压有效率为95.1%(39/41),对照组为92.7%(38/41),两组比较差异无显著性(P>0.05)。观察组患者术后1、2、4周视力均显著优于对照组,散光度明显小于对照组,差异均具有显著性(P<0.05, P<0.01)。结论人工晶体植入术、青光眼小梁切除术联合白内障超声乳化摘除术治疗青光眼合并白内障疗效确切,能够显著提高患者视力,降低散光度,值得临床推广应用。
目的:探討人工晶體植入術、青光眼小樑切除術聯閤白內障超聲乳化摘除術治療青光眼閤併白內障的臨床效果。方法選取2009年12月至2014年4月本院收治的青光眼閤併白內障患者82例,按照患者就診時間分為觀察組與對照組,每組各41例。觀察組患者行人工晶體植入術、青光眼小樑切除術及白內障超聲乳化摘除術治療,對照組患者行人工晶體植入術、青光眼小樑切除術及白內障囊外摘除術治療。觀察併比較兩組患者術後1、2、4週視力、眼壓、散光度。結果觀察組患者手術減壓有效率為95.1%(39/41),對照組為92.7%(38/41),兩組比較差異無顯著性(P>0.05)。觀察組患者術後1、2、4週視力均顯著優于對照組,散光度明顯小于對照組,差異均具有顯著性(P<0.05, P<0.01)。結論人工晶體植入術、青光眼小樑切除術聯閤白內障超聲乳化摘除術治療青光眼閤併白內障療效確切,能夠顯著提高患者視力,降低散光度,值得臨床推廣應用。
목적:탐토인공정체식입술、청광안소량절제술연합백내장초성유화적제술치료청광안합병백내장적림상효과。방법선취2009년12월지2014년4월본원수치적청광안합병백내장환자82례,안조환자취진시간분위관찰조여대조조,매조각41례。관찰조환자행인공정체식입술、청광안소량절제술급백내장초성유화적제술치료,대조조환자행인공정체식입술、청광안소량절제술급백내장낭외적제술치료。관찰병비교량조환자술후1、2、4주시력、안압、산광도。결과관찰조환자수술감압유효솔위95.1%(39/41),대조조위92.7%(38/41),량조비교차이무현저성(P>0.05)。관찰조환자술후1、2、4주시력균현저우우대조조,산광도명현소우대조조,차이균구유현저성(P<0.05, P<0.01)。결론인공정체식입술、청광안소량절제술연합백내장초성유화적제술치료청광안합병백내장료효학절,능구현저제고환자시력,강저산광도,치득림상추엄응용。
Objective Study the clinical effect of artificial lens implantation, trabeculectomy and phacoemulsiifcation in the treatment of glaucoma complicated with cataract. Method Chose 82 patients in our hospital from December 2009 to April 2014 for treatment of glaucoma complicated with cataract, according to the time patients were divided into control group and observation group, 41 cases in each group. The observation group underwent artificial lens implantation, trabeculectomy and phacoemulsification treatment, the control group underwent artiifcial lens implantation, trabeculectomy and extracapsular cataract extraction. Observed and compared vision, astigmatism, intraocular pressure of the two groups after operation 1, 2, 4 weeks. Result Patients in observation group operation of decompression efifciency was 95.1%(39/41), control group was 92.7%(38/41), the difference between the two groups was not signiifcant (P > 0.05). Visual acuity of observation group after 1, 2, 4 weeks was signiifcantly better than control group, the astigmatism was signiifcantly less than control group, the difference was signiifcant (P < 0.05, P < 0.01). Conclusion Artiifcial lens implantation, trabeculectomy and phacoemulsification treatment for glaucoma complicated with cataract compared with conventional incision method, can signiifcantly enhance the visual acuity, lower astigmatism, worthy of clinical application.