摘要
目的探讨采用联合手术治疗老年青光眼合并白内障的临床效果。方法选取2009年10月～2013年10月于柳州市人民医院眼科接受手术治疗的原发性青光眼合并老年性白内障的96例患者作为研究对象,分成三组,每组各32例,A组行白内障超声乳化联合小梁切除术治疗;B组先行白内障超声乳化术,待间隔1个月以上后再行青光眼滤过术;C组先行青光眼滤过术,待间隔1个月以上后再行白内障超声乳化术。术后随访时间为6个月,期间观察手术前后视力和眼压的变化、术后不良反应和并发症发生情况,术后满意度和患者自我评价术后视觉质量。结果与术前比较,三组患者术后1周、1、3、6个月的视力和眼压明显改善,差异均有统计学意义（P〈0.05）;但三组患者术后视力和眼压并无显著区别,差异均无统计学意义（P〉0.05）。A组患者的术后满意率（93.8%）明显高于B组（78.1%）和C组（78.1%）,差异有统计学意义（P〈0.05）;A组患者的术后视觉质量自我评价满意率（90.6%）明显高于B组（75.0%）和C组（71.9%）,差异均有统计学意义（P〈0.05）。结论联合手术治疗老年青光眼合并白内障患者是疗效显著的手术方法,具有进一步研究优化的临床价值。
Objective To study the curative effect of combined operations for senile glaucoma combined with cataract.Methods 96 patients with senile glaucoma combined with cataract who received combined operations and step operations in People＇s Hospital of Liuzhou City from October 2009 to October 2013 were selected as research subjects, and divided into three groups with 32 patients in each group. Group A were treated with phacoemulsification combined with trabeculectomy; group B were first treated with cataract phacoemulsification and then with glaucoma filtration surgery after one month interval; group C were first treated with glaucoma filtration surgery and then with cataract phacoemulsification after one month interval. The post-operation observation period was 6 months, during which the changes of visual acuity before and after the operation, adverse reaction, complications as well as satisfaction and self-evaluation of patients with postoperative visual quality were observed. Results Compared with before the treatment, patients＇ visual acuity and intra-ocular tension of three groups at 1 week, 1, 3 and 6 months after operation were significant improvement, the differences were statistically significant（P〈0.05）. But after the treatment the curative effects of the three groups were no great differences, the differences were not statistically significant（P〉0.05）. The self-satisfaction rate of group A（93.8%） was higher than that of group B（78.1%） and group C（78.1%）, the differences were statistically significant（P〈0.05）. The postoperative visual quality self-evaluation satisfaction rate of group A（90.6%） was greatly higher than group B（75.0%） and group C（71.9%）, the differences were statistically significant（P〈0.05）. Conclusion The combined operation to treat patients with senile glaucoma combined with cataract is an effective method, deserving further research and perfection in clinical value.
出处
《中国医药导报》
CAS
2014年第19期31-34,共4页
China Medical Herald
基金
广东省医学科研基金立项课题(编号B2011269)
关键词
老年青光眼
白内障
联合手术
小梁切除术
超声乳化术
Senile glaucoma
Cataract
Combined operations
Trabeculectomy
Phacoemulsification
