摘要
目的：观察微切口超声乳化联合小梁切除术治疗白内障合并青光眼疗效。方法回顾性分析2012年1月~2013年12月107例白内障合并青光眼患者临床资料，其中55例患者60眼采用微切口超声乳化联合小梁切除术治疗，列为观察组，其余52例55眼采用常规切口超声乳化联合小梁切除术治疗，列为对照组，观察两组患者术后视力、散光、眼压和并发症情况。结果①观察组术后视力较对照组改善明显，比较差异有统计学意义（P〈0.05）；②观察组术后散光程度较对照组低，恢复快，比较差异有统计学意义（P〈0.05）；③两组患者术后眼压较术前明显降低，与术前比较差异有统计学意义（P〈0.05）；④观察组术后并发症发生率低于对照组，两组比较差异有统计学意义（P〈0.05）。结论微切口超声乳化联合小梁切除术治疗白内障合并青光眼具有较好疗效，安全性高。
Objective To observe curative effect of ultra micro incision cataract combined with glaucoma in the treatment of cataract and glaucoma. Methods Retrospectively analyzing clinical data of 107 cases of cataract and glaucoma patients from January 2012 to December 2013 including 55 patients（60 eyes） using ultra micro incision combined with trabeculectomy treatment, listed as observation group, the remaining 52 cases（55 eyes） on conventional incision combined trabeculectomy treatment, observe two groups of patients with postoperative visual acuity, astigmatism, intraocular pressure and complications. Results ①The visual acuity was improved in observation group was obviously, compare the difference was statistically significant（P〈0.05）;②The degree of postoperative astigmatism observing group was lower than those of control group, rapid recovery, compare the difference was statistically significant（P〈0.05）; ③Two groups of patients with postoperative intraocular pressure significantly lower compared with preoperative, compared with the preoperative difference was statistically significant（P〈0.05）;④Observer postoperative complication rate was lower than the control group, comparing the two groups was statistically significant difference （P〈0.05）. Conclusion Ultra micro incision cataract combined with treatment have a good curative effect and high safety in the treatment of glaucoma and trabeculectomy.
出处
《中国现代药物应用》
2014年第11期10-12,共3页
Chinese Journal of Modern Drug Application
