超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼的疗效分析.docVIP

超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼的疗效分析 　　[摘要] 目的 探讨超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼的疗效。 方法 选择80例白内障合并青光眼患者，随机分为观察组和对照组。对照组患者予以超声乳化白内障吸除人工晶体植入术，观察组患者在此治疗的基础上予以联合小梁切除术治疗。观察并记录两组患者的治疗效果及术后并发症发生情况。 结果 术后1个月，两组患者的视力、中央房前深度均较术前明显增加（P0.05或P0.01），而眼压较术前明显降低，且观察组患者的改善幅度明显优于对照组（P0.05）；观察组患者的手术并发症发生率明显低于对照组（χ2=4.11，P0.05）。 结论 采用超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼能有效提高视力、降低眼内压、增加中央房前深度，疗效确切，同时手术并发症少，安全性佳，是一种安全有效的手术方式。 　　[关键词] 白内障合并青光眼；超声乳化白内障吸除人工晶体植入术；小梁切除术 　　[中图分类号] R779.66 [文献标识码] B [文章编号] 1673-9701（2015）12-0041-04 　　Curative effect analysis of phacoemulsification and intraocular lens implantation combined with trabeculectomy on catarct united glaucoma 　　XU Jianhui1 HONG Bin2 　　1.Department of Ophthalmology， the First People’s Hospital of Chun’an in Zhejiang Province， Chun’an 311700， China；2.Department of Ophthalmology， Luqiao Hospital of Taizhou Enze Medical Center（Group）in Zhejiang Province， Taizhou 318050， China 　　[Abstract] Objective To discuss curative effect of phacoemulsification and intraocular lens implantation combined with trabeculectomy on catarct united glaucoma. Methods Eighty cases of patients with catarct united glaucoma were selected， and divided into observation group and control group at random. The patients in control group were given hacoemulsification and intraocular lens implantation， while the patients in observation group were additionally given combined trabeculectomy， and curative effect and postoperative occurrences of complication of patients in two groups were observed. Results After one-month operation， vision and central front depth of patients in two groups were rose than before（P0.05 or P0.01）， while the intra-ocular tension were declined than before， and the improvement rates of patients in observation group were much higher than those in control group（P0.05）. The occurrence rate of operative complication of patients in observation group was much lower than that in control group （χ2=4.11， P0.05）. Conclusion The application of phaco