超声乳化联合小梁切除术治疗急性闭角型青光眼合并年龄相关性白内障的疗效分析
发布时间：2018-08-16 07:39
【摘要】：目的评估超声乳化人工晶状体植入联合小梁切除术治疗急性闭角型青光眼合并年龄相关性白内障的疗效。方法回顾性分析2012年1月至2013年12月于我院住院治疗的急性闭角型青光眼合并年龄相关性白内障患者54例(56眼)的临床资料,根据手术方式不同分为2组,A组行超声乳化人工晶状体植入联合小梁切除术,B组行超声乳化吸出人工晶状体植入术,分析两组术前及术后2个月视力、眼压、前房深度、前房角宽度改善情况及并发症情况等。结果 2组术后视力较术前均不同程度提高,差异均有统计学意义(均为P0.05);2组患者术后视力组间比较,差异无统计学意义(χ2=0.132,P=0.716)。2组术前眼压分别为(23.15±2.47)mm Hg(1 k Pa=7.5 mm Hg)、(23.94±3.07)mm Hg,术后眼压分别为(14.95±1.86)mm Hg、(13.72±2.41)mm Hg,2组术前眼压差异无统计学意义(t=1.061,P=0.294);2组术后眼压较术前均不同程度降低,差异均有统计学意义(均为P0.05);2组患者术后眼压组间比较,差异无统计学意义(t=1.910,P=0.062)。2组术后前房深度及前房角宽度较术前均不同程度增加,差异均有显著统计学意义(均为P0.001);2组患者术后前房深度及前房角宽度比较,差异均无统计学意义(t=1.300、0.924,P=0.199、0.359)。两组并发症发生率差异有统计学意义(χ2=4.383,P=0.036)。结论超声乳化人工晶状体植入联合小梁切除术治疗急性闭角型青光眼合并年龄相关性白内障疗效确切,并发症少,可作为优先选择的手术方式。
[Abstract]:Objective to evaluate the efficacy of phacoemulsification and intraocular lens implantation combined with trabeculectomy in the treatment of acute angle closure glaucoma with age-related cataract. Methods the clinical data of 54 cases (56 eyes) of acute angle-closure glaucoma with age-related cataract who were hospitalized in our hospital from January 2012 to December 2013 were analyzed retrospectively. According to the different operation methods, two groups were divided into two groups: group A received phacoemulsification intraocular lens implantation and trabeculectomy and group B received phacoemulsification and intraocular lens implantation. The visual acuity, intraocular pressure and anterior chamber depth were analyzed before and 2 months after operation. The angle width of anterior chamber was improved and complications. Results the postoperative visual acuity of the two groups were improved in different degrees compared with those before operation, and the differences were statistically significant (P0.05). There was no significant difference in IOP between the two groups (蠂 ~ 2 / 0.132P ~ (0.716). 2 the preoperative intraocular pressure (IOP) was (23.15 卤2.47) mm Hg (1 k Pa=7.5 mm Hg), (23.94 卤3.07) mm Hg,) postoperatively in group 鈪，
本文编号：2185319
[Abstract]:Objective to evaluate the efficacy of phacoemulsification and intraocular lens implantation combined with trabeculectomy in the treatment of acute angle closure glaucoma with age-related cataract. Methods the clinical data of 54 cases (56 eyes) of acute angle-closure glaucoma with age-related cataract who were hospitalized in our hospital from January 2012 to December 2013 were analyzed retrospectively. According to the different operation methods, two groups were divided into two groups: group A received phacoemulsification intraocular lens implantation and trabeculectomy and group B received phacoemulsification and intraocular lens implantation. The visual acuity, intraocular pressure and anterior chamber depth were analyzed before and 2 months after operation. The angle width of anterior chamber was improved and complications. Results the postoperative visual acuity of the two groups were improved in different degrees compared with those before operation, and the differences were statistically significant (P0.05). There was no significant difference in IOP between the two groups (蠂 ~ 2 / 0.132P ~ (0.716). 2 the preoperative intraocular pressure (IOP) was (23.15 卤2.47) mm Hg (1 k Pa=7.5 mm Hg), (23.94 卤3.07) mm Hg,) postoperatively in group 鈪，
本文编号：2185319
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