同轴微切口超声乳化联合小梁切除术治疗青光眼合并白内障的疗效分析

发布时间：2018-08-17 08:40

【摘要】：目的分析同轴微切口超声乳化联合小梁切除术治疗青光眼合并白内障的的临床疗效。方法将我院2008年1月至2012年8月经临床确诊为青光眼合并白内障的80例(80眼)患者随机分为对照组与观察组,每组40例。对照组行单纯小梁切除术,观察组行同轴微切口超声乳化联合小梁切除术,比较两组治疗前后的视力、眼压、中央前房深度及并发症,同时观察比较两组随访末期的手术疗效。结果对照组40例患者中,手术完全成功29眼,相对成功6眼,失败5眼,手术成功率87.5%;观察组40例患者中,手术完全成功34眼,相对成功5眼,失败1眼,手术成功率97.5%;两组比较差异有统计学意义(P0.05)。与术前相比,两组术后各时间点视力均显著提高(均为P0.05);术后1 d,对照组视力与观察组相比,差异无统计学意义(P0.05);而术后1周、1个月及6个月组间差异均有统计学意义(均为P0.05),观察组视力好于对照组。与术前相比,两组术后各时间点眼压均显著降低(均为P0.05);术后1 d,对照组眼压与观察组相比,差异无统计学意义(P0.05);而术后1周、1个月及6个月组间差异均有统计学意义(均为P0.05),观察组眼压低于对照组。与术前相比,两组术后各时间点中央前房深度均显著增加(均为P0.05);术后1 d、1周、1个月及6个月组间差异均有统计学意义(均为P0.05),观察组中央前房深度大于对照组。结论同轴微切口超声乳化联合小梁切除术治疗青光眼合并白内障,临床疗效显著,术后恢复快。
[Abstract]:Objective To analyze the clinical effect of coaxial micro-incision phacoemulsification combined with trabeculectomy for glaucoma complicated with cataract. In group A, coaxial micro-incision phacoemulsification combined with trabeculectomy was performed. Visual acuity, intraocular pressure, central anterior chamber depth and complications were compared between the two groups before and after treatment. Among them, 34 eyes were successfully operated, 5 eyes were relatively successful, 1 eye was unsuccessful, and the success rate was 97.5%. The difference between the two groups was statistically significant (P There was no significant difference in intraocular pressure between the control group and the observation group at 1 day after operation (P 0.05), but there was significant difference in intraocular pressure between the two groups at 1 week, 1 month and 6 months after operation (P 0.05). The intraocular pressure of the observation group was lower than that of the control group (all P 0.05). The central anterior chamber depth of the two groups increased significantly at each time point after operation (all P 0.05). The differences between the two groups at 1 day, 1 week, 1 month and 6 months after operation were statistically significant (all P 0.05). The Central anterior chamber depth of the observation group was greater than that of the control group. Beam resection is effective in treating glaucoma and cataract.
【作者单位】：北京仁和医院眼科;
【分类号】：R779.6

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