不同手术治疗方式对青光眼合并白内障患者视力眼压散光度及并发症的影响.docxVIP

不同手术治疗方式对青光眼合并白内障患者视力眼压散光度及并发症的影响 不同手术治疗方式对青光眼合并白内障患者视力、眼压、散光度及并发症的影响 　　【摘要】目的：探究不同手術方式对青光眼合并白内障患者视力、眼压、散光度及并发症的影响。方法：选择2018年2月-2019年2月于笔者所在医院行手术治疗的青光眼合并白内障患者84例为研究对象，采用随机数字表法分成常规组及试验组，各42例。常规组采用白内障超声乳化术及小梁切除术治疗，试验组采用白内障超声乳化术及房角分离术治疗，均持续随访6个月，对比两组视力、眼压、前房角度、前房深度、散光度和并发症情况。结果：试验组与常规组视力提升率分别为83.33%、78.57，差异无统计学意义（p0.05）;试验组术后前房角度大于常规组，散光度低于常规组，差异均有统计学意义（p0.05）;试验组与常规组并发症发生率分别为4.76%、19.05%，差异有统计学意义（p0.05）。结论：针对青光眼合并白内障患者采用白内障超声乳化术及房角分离术治疗可增大前房角度，降低散光度和并发症发生率，值得在临床中大力推广。 　　【关键词】青光眼白内障散光度眼压视力 　　doi：10.14033/j.cnki.cfmr.2020.07.021文献标识码b文章编号1674-6805（2020）07-00-03 　　effectsofdifferentsurgicalmodesonvisualacuity，intraocularpressure，astigmaticdegreeandcomplicationsofpatientswithglaucomaandcataract/qiuzhihua，zhujing.//chineseandforeignmedicalresearch，2020，18（7）：-52 　　[abstract]objective：toexploretheeffectsofdifferentsurgicalmodesonvisualacuity，intraocularpressure，astigmaticdegreeandcomplicationsofpatientswithglaucomaandcataract.method：atotalof84patientswithglaucomaandcataractwhounderwentsurgicaltreatmentinourhospitalfromfebruary2018tofebruary2019wereselectedasthesubjectsofthestudy.accordingtorandomnumbertablemethod，patientsweredividedintotheroutinegroupandthetestgroup，42casesineachgroup.thephacoemulsificationandtrabeculectomywereperformedintheroutinegroup，andthephacoemulsificationandgoniosynechialysiswereperformedinthetestgroup，andallpatientswerefollowedupfor6months.thevisualacuity，intraocularpressure，anteriorchamberangle，anteriorchamberdepth，astigmaticdegreeandcomplicationswerecomparedbetweenthetwogroups.result：theimprovementrateofvisualacuityinthetestgroupandtheroutinegroupwere83.33%and78.57%，respectively，andthedifferencewasnotstatisticallysignificant（p0.05）.aftersurgery，theanteriorchamberangleinthetestgroupwaslargerthanthatoftheroutinegroup，andastigmaticdegreewaslowerthanthatoftheroutinegroup，andthedifferenceswerestatisticallysignificant（p0.05）.thecomplicationsrateofthetestgroupandtheroutinegroupwere4.76%and19.05%，respectively，andthedifferencewasst