单纯白内障手术和青白联合手术临床疗效研究.docVIP

单纯白内障手术和青白联合手术临床疗效研究 　　[摘要] 目的 分析白?日虾喜⑶喙庋刍颊呤凳┑ゴ堪啄谡鲜质跤肭喟琢?合手术的临床效果。 方法 择取2015年10月～2016年10月我院接收的200例白内障合并青光眼患者为研究对象，依照就诊顺序，将患者随机平均分为A组与B组，每组100例，A组实施单纯白内障手术治疗，B组实施青白联合术治疗。相关结果比较。B组患者在术后1d，形成前房，无浅前房形成。6眼白内障膨胀。 结果 与本组治疗前比较，A、B两组患者术后0.3～0.6以上者例数现显著增加。和A组相比，B组患者术后0.3～0.6例数较多，组间比较差异有统计学意义（P0.05）。A组患者术后保持原有滤泡未改变。B组患者术后有25例形成滤过泡。A组患者术后1d，发生浅前房32例，对照组患者治疗满意度为92.00%，观察组为99.00%。与对照组比较，观察组患者术后满意度更高，组间比较，差异有统计学意义（P0.05）。 结论 对于青光眼合并白内障患者，使用青白联合术进行治疗，可以取得相对显著的效果。手术成功涉及到诸多方面，与手术时机、适应症、医生熟练程度和技巧均存在相关性，因此建议如果白内障合并青光眼患者不是急性发作或者白内障膨胀其内不存在继发性青光眼，应当尽早实施联合手术治疗。对于急性发作者，建议使用单纯白内障分期手术治疗，以取得预期治疗效果。 　　[关键词] 单纯白内障手术；青白联合手术；白内障合并青光眼；手术时机；效果比较 　　[中图分类号] R779.6 [文献标识码] A [文章编号] 2095-0616（2017）06-07-04 　　[Abstract] Objective To analyze the clinical effect of simple cataract surgery and plainer combined surgery in treament of patients with cataract and glaucoma. Methods 200 cases of patients with cataract and glaucoma cured in our hospital from October 2015 to October 2016 were selected and randomly divided into group A and group B with 100 cases in each according to the order.Patients in group A were treated with simple cataract surgery，and patients in group B were treated with plainer combined surgery.The related results were compared.group B of patients with One D after the operation，the anterior chamber of patients in group B were formed，no shallow anterior chamber formation. Results Compared with before treatment，the number of patients in group A and group B after 0.3-0.6 was significantly increased.Compared with A group，the number of patients within 0.3-0.6 in group B was more，there was significant difference between the groups，P0.05）.In group A，the original follicles remained unchanged.There were 25 patients in group B with filtering bleb.There were 32 cases of shallow anterior chamber one day after operation in group A.Treatment satisfaction of patients in control group was 92%，and the observation group was 99%.Compared with the control group，the patients in the observation group had hig