| 朱涛 马勇 杨乐 薛雨顺 王建萍.不同手术联合超声乳化人工晶体植入对闭角型青光眼合并白内障临床观察[J].,2016,16(25):4970-4972 |
| 不同手术联合超声乳化人工晶体植入对闭角型青光眼合并白内障临床观察 |
| Observation of Different Surgery Combined with Phacoemulsification andIntraocular Lens Implantation on Angle-closure Glaucoma Complicated withCataract |
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| DOI： |
| 中文关键词: 超声乳化人工晶体植入 小梁切除术 房角分离术 闭角型青光眼 白内障 |
| 英文关键词: Phacoemulsification and intraocular lens implantation Trabeculectomy Goniosynechialysis Angle-closure glaucoma Cataract |
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| 中文摘要: |
| 目的：对不同手术联合超声乳化人工晶体植入对闭角型青光眼合并白内障进行临床观察。方法：选择2012 年3 月～2014 年
4 月在我院进行诊治的闭角型青光眼合并白内障患者109 例(123 眼)，按照房角粘连状况和眼压大小选择不同的手术治疗方法。
房角粘连≤ 180° 、眼压≤ 30 mmHg的58 例(65 眼)患者为A组，采用房角分离术联合超声乳化人工晶体植入。房角粘连>180° 、
眼压> 30 mmHg的51 例(58 眼)患者为B 组，采用小梁切除术联合超声乳化人工晶体植入。术后随访半年，比较两组手术前后的
眼压、视力、前房深度。结果：术后6 个月，两组的矫正视力均较术前明显提高(P<0.05)；两组术后7 d、1、3、6 个月的眼压均明显低
于术前(P<0.05)；两组术后6 个月的前房深度均较术前明显增加(P<0.05)。结论：对于闭角型青光眼合并白内障患者，应按照患者
房角粘连状况和眼压大小选择合适的手术治疗方法。 |
| 英文摘要: |
| Objective:To observe different surgery combined with phacoemulsification and intraocular lens implantation on angle-
closure glaucoma complicated with cataract.Methods:Selected 109 cases (123eyes) of patients with angle-closure glaucoma complicated
with cataract who were treated in our hospital from March 2012 to April 2014, divided into two groups. A group of 58 cases (65
eyes) goniosynechia≤ 180° , the intraocular pressure≤ 30mmHg, using the corner separation technique combined with ultrasonic emulsification,
artificial lens implantation, B group 51 cases (58 eyes) goniosynechia>180° , the intraocular pressure> 30mmHg, using trabeculectomy
combined with ultrasonic emulsification intraocular lens implantation.Results:After 6 months, the corrected visual acuity of
the two groups were obviously improved than preoperative (P<0.05); after operation 7 d, 1, 3, 6 months of group A and various time
points after operation of group B, the intraocular pressure were significantly lower than the preoperative (P<0.05); after 6 months, anterior
chamber depth were significantly increased compared with preoperative (P<0.05).Conclusion:For the treatment of angle-closure glaucoma
complicated with cataract, should according to patients' corner adhesion conditions and intraocular pressure size, choosing the appropriate
surgical treatment. |
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