青光眼合并白内障联合手术中单、双切口不同术式的应用比较  

The application comparison between one-site and two-site incision in glaucoma with cataract combined surgery

作　　者：李旭青[1] 陈康[1] 王宏伟[1] 庹瑶[1] 

机构地区：[1]解放军第三二四医院眼科,重庆400020

出　　处：《中国医师进修杂志》2013年第27期12-14,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的比较分析单、双切口不同术式在青光眼合并白内障联合手术中的临床疗效。方法选择42例（58眼）青光眼合并白内障联合手术患者，其中行单切口术式者22例30眼（单切口组），行双切口术式者20例28眼（双切口组），比较两组患者术后眼压、超声生物显微镜（UBM）下滤过泡及并发症情况等。结果两组术后视力、眼压均较术前明显改善[单切口组：0．82±0．11比0．18±0．09、（17．32±4．52）mmHg（1mmHg=0．133kPa）比（31．98±5．18）mmHg，双切口组：0．79±0．20比0．20±0．03、（16．98±4．65）mmHg1：[5（33．16±4．61）mmHg]，差异有统计学意义（P〈0．05），但两组术后比较差异无统计学意义（P〉0．05）。两组术后巩膜瓣下滤过通道的可见性及滤过泡内反射强度比较差异无统计学意义（P〉0．05）。结论单、双切口不同术式对青光眼合并白内障联合手术均具有较好的降眼压作用，同时能维持良好的滤过泡功能。两种术式的降眼压功能基本相同。Objective To compare the effect of one-site and two-site incision in glaucoma with cataract combined surgery. Methods Forty-two cases （58 eyes） of patients of glaucoma with cataract combined surgery were selected. One-site incision were 22 cases with 30 eyes （one-site incision group）, and two-site incision were 20 cases with 28 eyes（two-site incision group）. The postoperative intraocular pressure, ultrasound biomicroscope （UBM）, filtering bleb and complications were compared in two groups. Results The postoperative visual acuity and intraocular pressure in two groups were better than preoperative [ one-site incision group： 0.82 ± 0.11 vs. 0.18 ± 0.09, （17.32 ± 4.52） mm Hg （1 mm Hg = 0.133 kPa） vs. （31.98 ± 5.18 ） mm Hg, two-site incision group ： 0.79 ± 0.20 vs. 0.20 ± 0.03, （ 16.98 ± 4.65） mm Hg vs. （33. l 6 ± 4.61） mm Hg], there were statistically significant differences （P 〈 0.05）,but there was no significant difference between two groups on postoperative （P 〉 0.05 ）. There was no statistically significant difference in visibility of filtering mutes under the scleral flap and reflectivity inside the blebs in two groups （P 〉 0.05）. Conclusions One-site and two-site incision in glaucoma with cataract combined surgery has good intraocular pressure control, can maintain a good filtering bleb function at the same time.The effects are similar between the two operative methods.

关 键 词：青光眼 超声乳化白内障吸除术 眼内压 

分 类 号：R779.6[医药卫生—眼科]