对单纯白内障手术治疗合并白内障的闭角型青光眼的疗效评价.docVIP

精品论文 参考文献 对单纯白内障手术治疗合并白内障的闭角型青光眼的疗效评价 山东省新汶矿业集团中心医院 271233 摘要：目的 研究分析对单纯白内障手术治疗合并白内障的闭角型青光眼的临床效果。方法 选取2014年3月至2016年4月近两年来本院收治的57例（64只眼）合并白内障的闭角型青光眼患者，根据其视力分为单纯白内障组和小梁组，视力在0.3以上为小梁组，共33眼，视力在0.3以下为单纯白内障组，共31眼。小梁组给予小梁切除术进行治疗，单纯白内障组给予白内障摘除合并人工晶状体植入术进行治疗。两组患者均对其进行长达7个月的随访。观察记录2组患者临床效果。结果术后两组患者眼压之间差异无统计学意义（Pgt;0.05）。经手术治疗后单纯白内障组的中央前房深度显著优于小梁组（Plt;0.05）。单纯白内障组与小梁组在术后并发症出现几率差异无统计学意义（Pgt;0.05）。经手术治疗后单纯白内障组的视力显著优于小梁组（Plt;0.05）。单纯白内障组与小梁组在治疗后临床总有效率差异无统计学意义（Pgt;0.05）。结论 单纯白内障手术与小梁切除术均能治疗合并白内障的闭角型青光眼，降低眼压减少并发症发生几率，但在提高恢复患者有效视力上白内障摘除合并人工晶状体植入术更加显著。单纯白内障手术提高术后恢复能力，避免多次手术给患者及其家属造成过度经济负担及精神压力。即使单纯白内障手术未能有效控制患者眼压，仍能进行小梁切除术，有效改善患者病情，提高其生活质量，减少疾病带来的危害，临床效果显著，但需注意选择适应证。值得应用于临床治疗。 关键词：白内障；闭角型；单纯白内障手术；青光眼；疗效；白内障摘除；人工晶状体植入术 【 abstract 】 objective to study the analysis of simple cataract surgery clinical effect for the treatment of primary closed-angle glaucoma with cataract. Method selection in March 2014 to April 2016 in our hospital in the past two years were 57 cases (64 eyes) with cataract of angle-closure glaucoma patients，according to their eyesight is divided into pure cataract group and trabecular，eyesight over 0.3 for the tm group，a total of 33 eyes，vision in 0.3 the following is a simple cataract group，a total of 31 eyes. Tm group was given trabeculectomy for treatment，pure cataract group was given cataract extraction with intraocular lens implantation for treatment. Two groups of patients for up to seven months of follow-up. Clinical effect observation records 2 groups of patients. Results there was no statistically significant difference between two groups of patients with postoperative intraocular pressure (P gt; 0.05). After treatment with surgery alone the central anterior chamber depth of cataract group was superior to that of tm group (P lt; 0.05). Simple cataract and trabecular group there was no statistically significant difference in the risk of postoperative complications (P gt; 0.05). After treatment with surgery alone the visual acuity of cataract group was superio