超声乳化结合小梁切除术在青光眼合并白内障患者中的疗效观察  

Observation on the Efficacy of Phacoemulsification Combined with Trabeculectomy in Patients with Glaucoma Complicated with Cataract

作　　者：陈会利 张相冉 栾东坤 CHEN Huili;ZHANG Xiangran;LUAN Dongkun(Department of Ophthalmology,Puyang Oilfield General Hospital,Puyang 457001,China;Department of Ophthalmology,Puyang People's Hospital,Puyang 457000,China;Department of Ophthalmology,No.988 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Zhengzhou 450007,China)

机构地区：[1]濮阳市油田总医院眼科,河南濮阳457001 [2]濮阳市人民医院眼科,河南濮阳457000 [3]中国人民解放军联勤保障部队第九八八医院眼科,河南郑州450007

出　　处：《临床医学工程》2022年第4期437-438,共2页Clinical Medicine & Engineering

基　　金：河南省濮阳市科技攻关项目(项目编号:1805036)。

摘　　要：目的探讨超声乳化结合小梁切除术治疗青光眼合并白内障患者的效果。方法100例青光眼合并白内障患者依据治疗方法的不同分为两组,对照组行超声乳化治疗,观察组在对照组基础上行小梁切除术治疗,比较两组的临床疗效以及并发症。结果治疗后,观察组的总有效率高于对照组,裸眼视力、最佳矫正视力均高于对照组,中央前房深度大于对照组,眼压低于对照组(P<0.05)。两组的并发症发生率比较,差异无统计学意义(P>0.05)。结论超声乳化结合小梁切除术治疗青光眼合并白内障患者的效果理想,安全性高,可改善患者的眼压与中央前房深度,有利于视力恢复。Objective To explore the effect of phacoemulsification combined with trabeculectomy in the treatment of patients with glaucoma complicated with cataract.Methods 100 cases of patients with glaucoma complicated with cataract were divided into two groups according to different treatment methods.The control group was treated with phacoemulsification,and the observation group was treated with trabeculectomy on the basis of the control group.The clinical efficacy and complications were compared between the two groups.Results After treatment,the total effective rate in the observation group was higher than that in the control group,the uncorrected visual acuity and best corrected visual acuity were higher than those in the control group,the depth of the central anterior chamber was greater than that in the control group,and the intraocular pressure was lower than that in the control group(P<0.05).No significant difference was found in the incidence of complications between the two groups(P>0.05).Conclusions Phacoemulsification combined with trabeculectomy in the treatment of patients with glaucoma complicated with cataract has ideal effect and high safety,which can improve the intraocular pressure and depth of the central anterior chamber of patients,and is conducive to the recovery of vision.

关 键 词：超声乳化 小梁切除术 青光眼 白内障 

分 类 号：R779.6[医药卫生—眼科]