中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
46-47
,共2页
白内障吸除%晶状体植入%青光眼%白内障%瞳孔阻滞
白內障吸除%晶狀體植入%青光眼%白內障%瞳孔阻滯
백내장흡제%정상체식입%청광안%백내장%동공조체
Cataract extraction%Intraocular lens implantation%Glaucoma%Cataract%Pupillary block
目的：探讨超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗青光眼合并轻度白内障的临床疗效。方法整群选择该院2013年12月-2014年9月收治83例青光眼合并轻度白内障患者作为研究对象，随机分为观察组(n=42)与对照组(n=41)。对照组行青光眼滤过术联合超声乳化白内障吸除，观察组行超声乳化白内障吸除人工晶状体植入联合小梁切除术，比较两组手术前后视力、眼压、前房深度与术后并发症发生率。结果两组各指标手术前后组内比较差异有统计学意义（P<0.05）；术前两组视力、眼压、前房深度的组间比较差异无统计学意义；术后，观察组视力、前房深度高于对照组，眼压低于对照组，比较差异有统计学意义（P<0.05）。观察组并发症总发生率为4.8%。显著低于对照组31.7%，其中角膜水肿、瞳孔变形粘连并发症发生率与对照组的比较差异有统计学意义（P<0.05）。结论超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗青光眼合并轻度白内障大幅度改善患者视力、前房深度与眼压，一次性完成手术，术后并发症更少，疗效显著。
目的：探討超聲乳化白內障吸除人工晶狀體植入聯閤小樑切除術治療青光眼閤併輕度白內障的臨床療效。方法整群選擇該院2013年12月-2014年9月收治83例青光眼閤併輕度白內障患者作為研究對象，隨機分為觀察組(n=42)與對照組(n=41)。對照組行青光眼濾過術聯閤超聲乳化白內障吸除，觀察組行超聲乳化白內障吸除人工晶狀體植入聯閤小樑切除術，比較兩組手術前後視力、眼壓、前房深度與術後併髮癥髮生率。結果兩組各指標手術前後組內比較差異有統計學意義（P<0.05）；術前兩組視力、眼壓、前房深度的組間比較差異無統計學意義；術後，觀察組視力、前房深度高于對照組，眼壓低于對照組，比較差異有統計學意義（P<0.05）。觀察組併髮癥總髮生率為4.8%。顯著低于對照組31.7%，其中角膜水腫、瞳孔變形粘連併髮癥髮生率與對照組的比較差異有統計學意義（P<0.05）。結論超聲乳化白內障吸除人工晶狀體植入聯閤小樑切除術治療青光眼閤併輕度白內障大幅度改善患者視力、前房深度與眼壓，一次性完成手術，術後併髮癥更少，療效顯著。
목적：탐토초성유화백내장흡제인공정상체식입연합소량절제술치료청광안합병경도백내장적림상료효。방법정군선택해원2013년12월-2014년9월수치83례청광안합병경도백내장환자작위연구대상，수궤분위관찰조(n=42)여대조조(n=41)。대조조행청광안려과술연합초성유화백내장흡제，관찰조행초성유화백내장흡제인공정상체식입연합소량절제술，비교량조수술전후시력、안압、전방심도여술후병발증발생솔。결과량조각지표수술전후조내비교차이유통계학의의（P<0.05）；술전량조시력、안압、전방심도적조간비교차이무통계학의의；술후，관찰조시력、전방심도고우대조조，안압저우대조조，비교차이유통계학의의（P<0.05）。관찰조병발증총발생솔위4.8%。현저저우대조조31.7%，기중각막수종、동공변형점련병발증발생솔여대조조적비교차이유통계학의의（P<0.05）。결론초성유화백내장흡제인공정상체식입연합소량절제술치료청광안합병경도백내장대폭도개선환자시력、전방심도여안압，일차성완성수술，술후병발증경소，료효현저。
Objective To study the clinical curative effect of phacoemulsification and intraocular lens implantation combined with trabeculectomy resection in the treatment of glaucoma combined with mild cataract. Methods 83 patients with glaucoma combined with mild cataract admitted into the hospital from December 2013 to September 2014 were selected as the object of study and were randomly divided into the observation group (n=42) and the control group (n=41). The control group was treated with glaucoma filtering operation combined with phacoemulsification while the observation group with phacoemulsification and intraocular lens implantation combined with trabeculectomy resection. The visual acuity, intraocular pressure, depth of anterior chamber and the rate of postoperative complications of the two groups before and after surgery were compared. Results The intra-group comparison of each index in the two groups before and after the treatment was statistically significant (P<0.05); Before operation, the intra-group comparison of vision, intraocular pressure and depth of anterior chamber between the two groups was not statistically significant. After operation, the visual acuity and depth of anterior chamber in the observation group were higher than those of the control group while the intraocular pressure was lower than that of the control group. The difference was statistically significant (P< 0.05). The total occurrence rate of complications in the observation group was 4.8% which was significantly lower than 31.7%of the control group. There were obviously differences in the occurrence rate of corneal edema and complication as pupil deformation adhesion, compared with those of the control group and the comparison was statistically significant (P<0.05). Conclusion Phacoemulsification and intraocular lens implantation combined with trabeculectomy resection in the treatment of glaucoma combined with mild cataract can greatly improve the visual acuity, depth of anterior chamber and intraocular pressure in patients, and the operation is once completed with less postoperative complications and significant curative effect.
