摘要
目的 探讨白内障超声乳化联合房角分离术在急性闭角型青光眼合并白内障中的临床效果.方法 将76例急性闭角型青光眼合并白内障患者随机分为观察组与对照组,每组各38例,对照组患者采用白内障超声乳化吸出＋人工晶体植入联合小梁切除术.观察组采用白内障超声乳化联合房角分离术＋人工晶体植入术,比较两组患者术后眼压、视力、前房深度及术后并发症情况.结果 观察组患者术后1周[（16.1±2.7） mmHgvs （18.6±19）mmHg]、术后1个月[（16.7±1.8）mmHgvs （17.8±1.6） mmHg）]、术后3个月[（15.3±1.7） mmHg vs （17.5±1.6）mmHg]及术后6个月[（14.6±1.5） mmHg vs（17.2±1.7）mmHg]的眼压均显著低于对照组同期水平,P＜0.05;观察组患者术后1周[（0.554±0.25） vs（0.521 ±0.18）]、术后1个月[（0.623±0.26） vs（0.568±0.21）]、术后3个月[（0.628±0.27） vs（0.624±0.22）]及术后6个月[（0.586±0.23）vs（0.573±0.24）]的视力均显著高于对照组同期水平,P＜ 0.05,观察组患者术后的ACD[（3.406±0.245）mmvs（3.062±0.221）mm]显著高于对照组术后,P＜0.001,两组并发症比较差异无统计学意义,P＞0.05.结论 采用白内障超声乳化吸出＋人工晶体植入联合小梁切除术及白内障超声乳化联合房角分离术＋人工晶体植入术均是急性闭角型青光眼合并白内障的安全、有效手段,白内障超声乳化联合房角分离术可更好的降低术后眼压、改善视力、增加前房深度.
Objective To explore the clinical efficacy of phacoemulsification combined with goniosynechialysis for acute angle-closure glaucoma（ACG） complicated with cataract.Methods 76 patients with ACG complicated with cataract were randomly divided into an observation group and a control group,38 for each group.The control group were treated with cataract phacoemulsification combined intraocular lens implantation and trabeculectomy.The observation group were treated with phacoemulsification combined with goniosychialysis.The IOP,visual acuity,anterior chamber depth,and complications after the operation were compared.Results The IOP 1 week [（16.1 ± 2.7） mmHg vs.（18.6 ± 1.97） mmHg）,1 month [（16.7 ± 1.8） mmHg vs.（17.8 ± 1.6） mmHg],3 months [（15.3 ± 1.7） mmHg vs.（17.5 ± 1.6） mmHg],and 6 months [（14.6 ± 1.5） mmHg vs.（17.2 ± 1.7） mmHg] after the operation were significantly lower in the observation group than in the control group,P 〈0.05.The visual acuity 1 week [（0.554 ± 0.250） vs.（0.521 ± 0.18）],1 month[（0.623 ± 0.26） vs.（0.568 ± 0.21）],3 months [（0.628 ± 0.27）vs.（0.624 ± 0.22）] and 6 months [（0.586 ± 0.230） vs.（0.573 ± 0.24）] after the operation were significantly higher in the observation than in the control group,P〈0.05.After the operation,the ACD was significantly lower in the observation group than in the control group[（3.406 ± 0.245） mm vs.（3.062 ± 0.221） mm],P 〈0.001.There was no statistical differences in the incidence of complications after the operation between the two groups.Conclusions Phacoemulsification combined with goniosynechialysis and phacoemulsification combined with intraocular lens implantation and trabeculectomy for ACG complicated with cataract both are safe and effective.Phacoemulsification combined with goniosynechialysis for ACG complicated with cataract can reduce intraocular pressure,improve vision,and increase anterior chamber depth.
出处
《国际医药卫生导报》
2015年第5期640-643,共4页
International Medicine and Health Guidance News
