中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
82-84
,共3页
青光眼合并白内障%超声乳化白内障吸除术%人工晶状体植入术%小梁切除术
青光眼閤併白內障%超聲乳化白內障吸除術%人工晶狀體植入術%小樑切除術
청광안합병백내장%초성유화백내장흡제술%인공정상체식입술%소량절제술
Glaucoma and cataract%Phacoemulsification%Intraocular lens implantation%Trabeculectomy
目的 观察分析超声乳化白内障吸除、人工晶状体植入配合小梁切除术治疗青光眼合并白内障的临床疗效和安全性.方法 选取2012年2月至2014年2月的124例青光眼合并白内障患者为研究对象,根据治疗方法不同将患者分为观察组(69例)和对照组(55例),两组均采用透明角膜缘切口超声乳化人工晶状体植入术治疗,观察组在此基础上联合小梁切除术进行治疗,比较两组患者的临床治疗效果以及术后不良反应发生率.结果 观察组治疗后眼压改善总有效率(96.65％)显著高于对照组(81.82％),两组比较差异有统计学意义(x2=62411,P ＜0.05).观察组视力改善总有效率(100.00％)明显高于对照组(90.91％),两组比较差异有统计学意义(x2 =6.5363,P＜0.05).观察组术后不良反应发生率(18.18％)显著低于对照组(4.35％),两组比较差异有统计学意义(x2 =6.2411,P＜0.05).结论 超声乳化白内障吸除、人工晶状体植入配合小梁切除术治疗青光眼合并白内障不仅可以提高患者的治疗效果,而且术后不良反应发生较少,无需二次手术,显著减轻了患者的痛苦,值得在临床上大力推广.
目的 觀察分析超聲乳化白內障吸除、人工晶狀體植入配閤小樑切除術治療青光眼閤併白內障的臨床療效和安全性.方法 選取2012年2月至2014年2月的124例青光眼閤併白內障患者為研究對象,根據治療方法不同將患者分為觀察組(69例)和對照組(55例),兩組均採用透明角膜緣切口超聲乳化人工晶狀體植入術治療,觀察組在此基礎上聯閤小樑切除術進行治療,比較兩組患者的臨床治療效果以及術後不良反應髮生率.結果 觀察組治療後眼壓改善總有效率(96.65％)顯著高于對照組(81.82％),兩組比較差異有統計學意義(x2=62411,P ＜0.05).觀察組視力改善總有效率(100.00％)明顯高于對照組(90.91％),兩組比較差異有統計學意義(x2 =6.5363,P＜0.05).觀察組術後不良反應髮生率(18.18％)顯著低于對照組(4.35％),兩組比較差異有統計學意義(x2 =6.2411,P＜0.05).結論 超聲乳化白內障吸除、人工晶狀體植入配閤小樑切除術治療青光眼閤併白內障不僅可以提高患者的治療效果,而且術後不良反應髮生較少,無需二次手術,顯著減輕瞭患者的痛苦,值得在臨床上大力推廣.
목적 관찰분석초성유화백내장흡제、인공정상체식입배합소량절제술치료청광안합병백내장적림상료효화안전성.방법 선취2012년2월지2014년2월적124례청광안합병백내장환자위연구대상,근거치료방법불동장환자분위관찰조(69례)화대조조(55례),량조균채용투명각막연절구초성유화인공정상체식입술치료,관찰조재차기출상연합소량절제술진행치료,비교량조환자적림상치료효과이급술후불량반응발생솔.결과 관찰조치료후안압개선총유효솔(96.65％)현저고우대조조(81.82％),량조비교차이유통계학의의(x2=62411,P ＜0.05).관찰조시력개선총유효솔(100.00％)명현고우대조조(90.91％),량조비교차이유통계학의의(x2 =6.5363,P＜0.05).관찰조술후불량반응발생솔(18.18％)현저저우대조조(4.35％),량조비교차이유통계학의의(x2 =6.2411,P＜0.05).결론 초성유화백내장흡제、인공정상체식입배합소량절제술치료청광안합병백내장불부가이제고환자적치료효과,이차술후불량반응발생교소,무수이차수술,현저감경료환자적통고,치득재림상상대력추엄.
Objective To observe the effects of triple combination operation on the patients of coexisting glaucoma and cataract.Methods One hundred and twenty-four cases of glaucoma and cataract from February 2012 to February 2014 were divided into two groups according to the type of their previous treatment:the control group(55 cases) were given clear corneal incision phacoemulsification combined with intraocular lens implantation,while the observation group (69 cases) were given the clear corneal incision phacoemulsification and intraocular lens implantation combined with trabeculectomy.Results The total effective rate(reduce intraocular pressure and improve of visual acuity) were 96.65％ and 100.00％ in the observation group,which were higher than those in the control group (81.82％ and 90.91％);besides,the incidence rate of adverse reaction in the observation group(18.18％) was significant lower than that in the control group(4.35％).Conclusions The triple combination operation for the patients of coexisting glaucoma and cataract is effective and safe with less complication,and no need to have a second operation,so it is worthy of clinical promotion.
