超声乳化术在原发性青光眼治疗中的应用.docVIP

精品论文 参考文献 超声乳化术在原发性青光眼治疗中的应用 魏光杰 何佃菊 　　（山东省莱芜市人民医院 山东 莱芜 271100） 　　【摘 要】目的：分析研究超声乳化术在原发性青光眼的临床治疗中的应用效果。方法：随机选取2013年3月-2015年1月本院收治的86例原发性青光眼患者作为研究对象，并依据手术方式的不同将参与本次研究的患者分为对照组以及观察组，两组均为43例；对照组患者采取小梁切除术进行治疗，观察组患者则采用超声乳化术＋人工晶体植入术进行治疗。比较两组患者手术前后眼压的变化情况、手术前后前房深度变化情况以及术后视力矫正结果。结果：术后两组患者的最佳矫正视力均有不同程度的提高，但观察组的检查结果明显优于对照组，两组数据经统计学处理后显示P＜0.05，具有统计学意义；两组患者的术后眼压相较于术前均有不同程度的下降，但观察组患者在术后第1、2、7d的眼压检查结果均明显高于对照组，两组数据经统计学处理后显示P＜0.05，具有统计学意义；两组患者术后前房深度均有不同程度加深，但观察组的加深程度明显高于对照组，两组数据经统计学处理后显示P＜0.05，具有统计学意义。结论：利用超声乳化术结合人工晶体植入的治疗方式可有效提高原发性青光眼的临床治疗效果，并可在一定程度上加深前房，提高眼压的控制水平以及患者视力，故具有临床推广应用价值。 　　【关键词】原发性青光眼；超声乳化术；临床治疗效果 　　【中图分类号】R775.2 【文献标识码】B 【文章编号】1003-5028（2015）6-0510-02 　　Application of phacoemulsification in the treatment of primary glaucoma 　　【Abstract】Objective: to analysis the application effect of phacoemulsification in the clinicaltreatment of primary glaucoma in. Method: randomly selected in 2013 March -2015 year in January the hospital treated 86 cases of primary glaucoma patients as the research object,and according to the different ways of operation will be participating in this study were divided into control group and observation group, two groups were 43 cases; the control group patients take trabeculectomy for treatment, observation group patients withphacoemulsification and intraocular lens implantation for treatment. Comparison of two groups of patients before and after operation, the intraocular pressure before and afteroperation change of anterior chamber depth changes and postoperative vision correctionresults. Results: after operation, two groups of patients with best corrected visual acuitywas improved to different degrees, but the observation group examination resultssignificantly better than the control group, two groups of data by statistical treatment after the display of P lt; 0.05, with statistical significance; the two groups of patients withpostoperative IOP compared with preoperative have different degree of decline, intraocular pressure check re