三联手术治疗青光眼合并轻度白内障疗效探讨.docVIP

三联手术治疗青光眼合并轻度白内障的疗效探讨 　　[摘要] 目的 探讨超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗青光眼合并轻度白内障的临床疗效。方法 整群选择该院2013年12月―2014年9月收治83例青光眼合并轻度白内障患者作为研究对象，随机分为观察组（n=42）与对照组（n=41）。对照组行青光眼滤过术联合超声乳化白内障吸除，观察组行超声乳化白内障吸除人工晶状体植入联合小梁切除术，比较两组手术前后视力、眼压、前房深度与术后并发症发生率。 结果 两组各指标手术前后组内比较差异有统计学意义（P0.05）；术前两组视力、眼压、前房深度的组间比较差异无统计学意义；术后，观察组视力、前房深度高于对照组，眼压低于对照组，比较差异有统计学意义（P0.05）。观察组并发症总发生率为4.8%。显著低于对照组31.7%，其中角膜水肿、瞳孔变形粘连并发症发生率与对照组的比较差异有统计学意义（P0.05）。 结论 超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗青光眼合并轻度白内障大幅度改善患者视力、前房深度与眼压，一次性完成手术，术后并发症更少，疗效显著。 　　[关键词] 白内障吸除；晶状体植入；青光眼；白内障；瞳孔阻滞 　　[中图分类号] R59 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0046-02 　　Study on Curative Effect of Triple Operation in Treatment of Glaucoma Combined with Mild Cataract 　　CHENG Ming-zhi 　　Department of Ophthalmology， Jiaozuo Tongren Hospital， Jiaozuo， Henan Province， 454150 China 　　[Abstract] Objective To study the clinical curative effect of phacoemulsification and intraocular lens implantation combined with trabeculectomy resection in the treatment of glaucoma combined with mild cataract. Methods 83 patients with glaucoma combined with mild cataract admitted into the hospital from December 2013 to September 2014 were selected as the object of study and were randomly divided into the observation group（n=42） and the control group（n=41）. The control group was treated with glaucoma filtering operation combined with phacoemulsification while the observation group with phacoemulsification and intraocular lens implantation combined with trabeculectomy resection. The visual acuity， intraocular pressure， depth of anterior chamber and the rate of postoperative complications of the two groups before and after surgery were compared. Results The intra-group comparison of each index in the two groups before and after the treatment was statistically significant（P 　　[Key words] Cataract extraction； Intraocular lens implantation； Glaucoma； Cataract； Pupillary block 　　青光眼与白内障均为眼科常见致盲性眼病，受到病理生理及解剖因素影响，二者病情发展可互相促进，加重病情严重程度。传统青光眼合并白内障联合手术（二联手术）可有效降低眼压、摘除白内障以增加前房深度，使瞳孔阻滞问题得到缓解，提高