摘要
目的:探讨超声乳化及青光眼白内障联合手术治疗合并白内障的闭角型青光眼疗效。方法:回顾性分析我院收治的72例78眼闭角型青光眼合并白内障患者的病例资料,所有患者随机分为两组,治疗组36例39眼采用白内障超声乳化吸除或白内障超声乳化吸除联合房角分离术进行治疗,对照组患者36例39眼采用青光眼白内障联合手术进行治疗,治疗结束后对两组患者术后的眼压、视力、房角形态等项目进行对比分析。结果:治疗结束后两组进行对比,治疗组各项指标明显高于对照组,差异有统计学意义(P<0.05)。结论:两种手术方式都可一次性治疗闭角型青光眼合并白内障,白内障超声乳化吸除联合房角分离术疗效高于青光眼白内障联合手术,且青光眼白内障联合手术要求患者的眼压情况必须控制良好,需要掌握手术时机,操作相对复杂,难度相对较大,术后并发症也相对较多。
Objective： To discuss the contrast of clinical efficacy of phacoemulsification and glaucoma cataract combined surgery applied to the treatment of angle-closure glaucoma and cataract. Method： A retrospective analysis of the data of 72 cases, 78 eyes treated in our hospital, all patients were divided into two groups. The therapeutic group had 36 cases ,39 eyes,which were conducted by cataract phacoemulsification removement or that combined with goniosynechialysis treatment. The contrast group were treated by glaucoma cataract combined surgery. Compared the two groups by the projects such as the intraocnlar pressure, visual acuity, angle＇s shape after the surgery. Result： The therapeutic group had a better effect than the comparison group in every parts,There＇s statistically significance differences （P〈0.05）. Conclusion： Both the two different methods can one-off succeed in treating angle closure glaucoma and cataract,cataract phacoemulsification removement combined with goniosynechialysis treatment are more efficient than the glaucoma cataract combined surgery, moreover the latter demand the patients have a good condition in the intraocular pressure, and it need the very time,its surgery is more complex and hard,and it has much more syndrome.
出处
《河北医学》
CAS
2011年第4期441-443,共3页
Hebei Medicine
关键词
闭角型青光眼
白内障
超声乳化
青光眼白内障联合手术
Angle-closure glaucoma
Cataract
Phacoemulsification
Glaucoma cataract combined surgery
