超声乳化手术治疗慢性闭角型青光眼合并白内障的临床疗效分析  

The Clinical Analysis of Phacoemulsification Surgery for Chronic Angle-Closure Glaucoma with Cataract

作　　者：吕涛[1] 王莉[1] 吴双有[1] 吴刚[1] 管小丹[1] 

机构地区：[1]陕西省安康市中心医院眼科,陕西安康725000

出　　处：《现代生物医学进展》2014年第21期4134-4136,4200,共4页Progress in Modern Biomedicine

基　　金：2010年陕西省卫生厅科研基金项目(2010B09)

摘　　要：目的:探讨超声乳化手术治疗慢性闭角型青光眼合并白内障的临床效果。方法:慢性闭角型青光眼合并白内障64例(64眼)根据治疗方法的不同分为治疗组与对照组各32例,对照组采用传统小梁切除手术,治疗组采用超声乳化手术。结果:(1)两组术前视力对比无明显差异,治疗后视力情况都明显改善,同时组间对比有明显差异(P<0.05)。(2)两组术前眼压比较无显著性差异,术后两组组间与组内对比都有明显差异(P<0.05)。(3)两组术前前房深度比较无显著性差异,治疗后都有明显上升(P<0.05),同时组间对比差异明显(P<0.05)。(4)两组患者术中与术后都无严重并发症发生。结论:对于慢性闭角型青光眼合并白内障患者行超声乳化手术具备加深前房、控制眼压、提高视力的作用,同时安全性好,可作为标准治疗选择。Objective： To investigate the clinical effects of phacoemulsification surgery for chronic angle-closure glaucoma with cataract. Methods： 64 cases （64 eyes） with chronic angle-closure glaucoma with cataract accorded to the treatment methods were equally divided into treatment group and control group, the control group were used conventional trabeculectomy, the treatment group were used phacoemulsification. Results： The preoperative visual acuity compared had no significant difference and were significantly improved after treatment, while had significant differences between the groups compared（P〈0.05）, so that were to the IOP and anterior chamber depth （P〈0.05）. Two groups of patients had no intraoperative and postoperative complications. Conclusion： Phacoemulsification surgery for chronic angle-closure glaucoma with cataract has the values of deeping the anterior chamber, controlling intraocutar pressure and improving the vision, while the security is good, it can be used as standard treatment options.

关 键 词：超声乳化手术 慢性闭角型青光眼 白内障 小梁切除术 眼压 

分 类 号：R775[医药卫生—眼科] R776[医药卫生—临床医学]