白内障超声乳化吸除联合小梁切除术疗效观察  

Observation of Phacoemulsification and Trabeculectomy

作　　者：卢建香[1] 李庆云[1] 毋海燕[1] 

机构地区：[1]河南省焦作市第二人民医院眼科,焦作市454000

出　　处：《医药论坛杂志》2009年第15期18-20,共3页Journal of Medical Forum

摘　　要：目的观察白内障超声乳化吸除人工晶体植入联合小梁切除术与白内障囊外摘除人工晶体植入联合小梁切除术治疗青光眼合并白内障的临床疗效。方法回顾分析患青光眼白内障在我院行超声乳化白内障吸除人工晶体植入联合小梁切除术(超乳三联术组)的患者74例(92眼),和行白内障囊外摘除人工晶体植入联合小梁切除术(囊外三联术组)的患者40例(52眼),记录手术前、后的视力和眼压,记录手术并发症和滤过泡情况。结果超乳三联术组术后平均眼压为(13.72±2.72)mm Hg,囊外三联术组术后平均眼压(12.92±5.35)mm Hg,较术前显著下降(P<0.01),且两组下降值差异无显著性(t=0.166,P>0.05)。超乳三联术组术后视力显著提高(χ2=18.254,P<0.01),囊外三联术组手术前后视力差异无显著性。术后3个月随访,眼压≥21mm Hg者,超乳三联术组2只眼,囊外三联术组4只眼,两组比较差异无显著性意义(P>0.05)。手术并发症超乳三联术组明显低于囊外三联术组,差异有极显著性意义(P<0.01)。两组术后均无严重并发症发生。结论超声乳化白内障吸除人工晶体植入联合小梁切除术,可安全有效治疗青光眼合并白内障,且效果优于白内障囊外摘除人工晶体植入联合小梁切除术。ObjectiVe To observe the phacoemulsification intraocular lens implantation and trabeculectomy with cataract extraction and intraocular lens implantation and trabeculectomy for the treatment of glaucoma with cataract clinical efficacy. Methods Retrospective analysis of glaucoma patients with cataract in the hospital conducting phacoemulsification intraocular lens implantation and trabeculeetomy （super- milk triple surgery） ,74 cases of patients （92 eyes） ,and the conducting of manual extracapsular cataract extraction lens implantation and trabeculectomy （outside the capsule triple surgery） ,40 cases of patients （52 eyes）, recording operation before and after the intraoeular pressure and visual acuity, surgical complications and record filtering bleb situation. Results The super - group after triple surgery the average for the intraocular pressure （ 13.72 ±2. 72） mm Hg,outside the capsule triple group the average IOP after surgery （ 12. 92 ± 5.35 ）mm Hg, a significant drop in pre - operative （P 〈 0. 01 ） and Decline in the value of the two groups were not significantly different （t = 0. 166,P 〉 0. 05）. Triple super - milk group after surgery significantly improved vision （ X^2 = 18. 254, P 〈 0. 01 ） o Conclusion phacoemulsification and intraoeular lens implantation and trabeculectomy can be safe and effective treatment of glaucoma with cataract, and better than extracapsular cataract extraction and intraocular lens implantation and trabeculectomy.

关 键 词：白内障摘除术 小梁切除术 青光眼 人工晶体 

分 类 号：R779.1[医药卫生—眼科]