摘要
目的:分析对于急性闭角型青光眼伴白内障患者采用超声乳化+房角分离术的治疗效果。方法:抽取2013年7月~2021年3月本院58例急性闭角型青光眼伴白内障患者,依据手术方案分组,观察组应用超声乳化+房角分离术方案治疗,对照组应用超声乳化+小梁切除术方案治疗,对比2组患者手术前后的视力、眼压与中央前房深度变化,手术治疗总有效率以及术后的并发症。结果:2组术前中央前房深度、视力以及眼压水平相比,P>0.05,术后观察组的中央前房深度、视力均高于对照组,眼压低于对照组,P<0.05;观察组治疗总有效率96.55%,对照组86.21%,P<0.05;观察组的术后并发症率为3.45%,对照组为17.24%,P<0.05。结论:对于急性闭角型青光眼合并白内障患者采用超声乳化+房角分离术的方案其治疗效果满意,有助于改善患者的视力和眼压,且术后并发症率较低。
Objective:To analyze the therapeutic effect of phacoemulsification and angle separation in patients with acute angle-closure glaucoma with cataract.Methods:From July 2013 to March 2021,58 patients with acute angle-closure glaucoma with cataract in our hospital were selected and divided into groups according to the surgical plan.The observation group was treated with phacoemulsification+goniotomy,and the control group was treated with phacoemulsification+small Beamectomy was used to treat the patients,and the changes of visual acuity,intraocular pressure and central anterior chamber depth before and after surgery,the total effective rate of surgical treatment and postoperative complications were compared between the two groups.Results:Comparing preoperative central anterior chamber depth,visual acuity and intraocular pressure between the two groups,P>0.05,postoperative central anterior chamber depth and visual acuity in the observation group were higher than those in the control group,and intraocular pressure was lower than that in the control group,P<0.05;The total effective rate was 96.55%in the observation group and 86.21%in the control group,P<0.05;the postoperative complication rate was 3.45%in the observation group and 17.24%in the control group,P<0.05.Conclusion:For patients with acute angle-closure glaucoma complicated with cataract,phacoemulsification+separation of the angle of the atrium has a satisfactory therapeutic effect,which is helpful to improve the visual acuity and intraocular pressure,and the postoperative complication rate is low.
作者
孙青山
杨亚男
刘杰
SUN Qing-shan;YANG Ya-nan;LIU Jie(Department of Ophthalmology,Dezhou Hospital of Traditional Chinese Medicine,Shandong Dezhou 253000)
出处
《中国医疗器械信息》
2022年第3期122-124,共3页
China Medical Device Information
关键词
急性闭角型青光眼
白内障
超声乳化
房角分离术
acute angle-closure glaucoma
cataract
phacoemulsification
atrial angle dissection
