CAJ | 학술논문

目的：对比观察单一切口和双切口两种不同手术切口方式对于青光眼白内障联合术后角膜内皮和散光的影响，为手术切口方式的选择提供理论依据。方法分别采用上方同一切口白内障超声乳化摘除人工晶体植入联合小梁切除以及经颞侧透明角膜切口白内障超声乳化摘除折叠型人工晶体植入联合上方切口小梁切除治疗青光眼合并有白内障患者41例（41只眼）。观察术后1周、3个月、6个月、12个月两种不同切口手术方式对患者角膜内皮细胞及屈光状态的影响。结果与术前相比，术后1周、3个月、6个月、12个月两种不同切口手术方式患者角膜内皮细胞计数均显著降低，且两组间比较具有统计学差异，双切口组角膜内皮细胞丢失更加严重；术后各时间点平均角膜散光度均增加但与术前相比差异均无显著性差异，且两组间比较亦无统计学差异。结论单一切口和双切口两种不同切口方式的青光眼白内障联合手术均可导致角膜内皮细胞计数显著降低以及角膜散光度的增加，单一切口的手术方式对角膜的影响更小。
목적：대비관찰단일절구화쌍절구량충불동수술절구방식대우청광안백내장연합술후각막내피화산광적영향，위수술절구방식적선택제공이론의거。방법분별채용상방동일절구백내장초성유화적제인공정체식입연합소량절제이급경섭측투명각막절구백내장초성유화적제절첩형인공정체식입연합상방절구소량절제치료청광안합병유백내장환자41례（41지안）。관찰술후1주、3개월、6개월、12개월량충불동절구수술방식대환자각막내피세포급굴광상태적영향。결과여술전상비，술후1주、3개월、6개월、12개월량충불동절구수술방식환자각막내피세포계수균현저강저，차량조간비교구유통계학차이，쌍절구조각막내피세포주실경가엄중；술후각시간점평균각막산광도균증가단여술전상비차이균무현저성차이，차량조간비교역무통계학차이。결론단일절구화쌍절구량충불동절구방식적청광안백내장연합수술균가도치각막내피세포계수현저강저이급각막산광도적증가，단일절구적수술방식대각막적영향경소。
Objective To compare the corneal endothelial cell counts and corneal astigmatism changes that oc-curred after phacotrabeculectomy performed at one-site and two-site incision.Methods Author collected 41 cases of glau-coma combined cataract patients and randomly divided them into one-side and two-site phacotrabeculectomy groups.The re-cords of patients who had one-site and two-site phacotrabeculectomy by a single surgeon were reviewed.Ahthor collected pre-and postoperative endothelial cell counts and corneal astigmatism.Follow-up data were obtained at 1 week, 3, 6, and 12 months.Results Postoperative endothelial cell counts were significantly lower in both one-site and two-site groups. There were significant differences between one-side and two-site groups.Endothelial cell counts were significantly lower in the two-site group.Comparisons of corneal astigmatism before surgery and on each postoperative follow-up point were not statistically significant between two groups.Conclusion Endothelial cell loss and corneal astigmatism increase occurred in both one-site and two-site groups.One-site surgery seems to cause less corneal endothelial cell damages than 2-site opera-tion do.