不同手术方案治疗闭角型青光眼合并白内障的疗效分析.pdfVIP

·58·中国实用医药2025年1月第20卷第2期ChinaPracMed,Jan2025,Vol.20,No.2

不同手术方案治疗闭角型青光眼合并白内障的

疗效分析

黄文强黄秋荣李陈香

【摘要】目的分析不同手术方案治疗闭角型青光眼合并白内障的疗效。方法选取122例单眼

闭角型青光眼合并白内障患者,随机分为对照组及观察组,每组61例。对照组采取白内障超声乳化+

小梁切除术,观察组采取白内障超声乳化+房角分离术。比较两组术后视力状况,术后并发症发生情况,

手术前后的眼压、前房深度。结果两组术后视力提高率比较,差异无意义(P0.05)。观察组术后并发

症发生率4.9%低于对照组的16.4%,差异有意义(P0.05)。手术前,两组的眼压、前房深度比较,差异

无意义(P0.05)；手术后,观察组的眼压(13.3±2.3)mmHg(1mmHg=0.133kPa)、前房深度(3.1±0.5)mm

低于对照组的(17.4±3.6)mmHg、(3.3±0.6)mm,差异有意义(P0.05)。结论两种术式均可改善患者的

视力状况,其中白内障超声乳化+房角分离术的并发症少,可有效降低患者术后眼压、前房深度,可推

广使用。

【关键词】白内障超声乳化术；小梁切除术；房角分离术；闭角型青光眼；白内障；临床疗效；并发症；

眼压

DOI：10.14163/j.cnki.11-5547/r.2025.02.015

Analysisofthecurativeeffectofdifferentsurgicalschemesonangle-closureglaucomacombinedwith

cataractHUANGWen-qiang,HUANGQiu-rong,LIChen-xiang.DepartmentofOphthalmology,AierEye

Hospital,Ganzhou342800,China

【Abstract】ObjectiveToanalyzethecurativeeffectofdifferentsurgicalschemesonangle-closure

glaucomacombinedwithcataract.MethodsAtotalof122patientswithmonocularangle-closureglaucoma

combinedwithcataractwereselected,andrandomlydividedintocontrolgroupandobservationgroup,each

consistingof61cases.Thecontrolgroupwastreatedwithcataractphacoemulsification+trabeculectomy,andthe

observationgroupwastreatedwithcataractphacoemulsification+goniosynechialysis.Thepostoperativevisual

acuity,postoperativecomplications,intraocularpressureandanteriorchamberdepthbeforeandafteroperation

werecomparedbetweenthetwogroups.ResultsTherewasnosignificantdifferenceintheimprovementrateof

postoperativevisualacuitybetweenthetwogroups(P0.05).Theincidenceofpostoperativecomplicationsinthe

observationgroupwas4.9%,whichwaslowerthan16.4%inthecontrolgroup,andthedifferencewassignificant

(P0.05).