摘要
目的探讨不同切口白内障超声乳化联合小梁切除术治疗青光眼合并白内障的临床疗效。方法选取年2015年6月至2016年12月收治的青光眼合并白内障患者94例,按照随机数字表法分成观察组和对照组各47例,观察组采用双切口白内障超声乳化联合小梁切除术治疗,对照组采用单切口白内障超声乳化联合小梁切除术治疗,观察两组治疗前后眼内压、视力情况、滤过泡形成情况和并发症发生率。结果在眼内压上,两组治疗后与治疗前比较差异有统计学意义(P<0.05),观察组治疗后明显低于对照组,差异有统计学意义(P<0.05);在裸眼视力和最佳矫正视力上,两组治疗后与治疗前比较均有显著提高,差异有统计学意义(P<0.05),观察组治疗后明显高于对照组,差异有统计学意义(P<0.05);观察组功能型滤过泡形成率明显高于对照组,差异有统计学意义(P<0.05),两组在微小型、缺如型、包裹型、弥漫扁平型滤过泡形成率上比较差异无统计学意义(P>0.05);两组在并发症发生率上比较差异无统计学意义(P>0.05)。结论与单切口相比,双切口白内障超声乳化联合小梁切除术治疗青光眼合并白内障疗效更为显著,能够有效改善眼内压,促进视力恢复。
Objective To evaluate the clinical efficacy of different incision in phacoemulsification and trabeculectomy for patients glaucoma and cataract. Methods Ninety-four patients with glaucoma and cataract were selected from June 2015 to December 2016 in our hospital and randomly divided into the observation group and the control group, each consisting of 47 cases. The observation group used double incisions in phacoemulsification combined with trabeculectomy, while the control group used single incision. IOP, visual acuity, bleb formation and complication rates before and after treatment was observed. Results For IOP, both groups after treatment were significantly lower than before treatment （ P〈0.05 ） , and the observation group after treatment was significantly lower than the control group （ P〈0.05 ） ; For the uncorrected visual acuity and best corrected visual acuity, both groups after treatment were significantly increased than before treatment （ P〈0.05 ） , and the observation group after treatment was significantly higher than the control group （ P〈0.05 ） ; the functional bleb formation rate of the observation group was significantly higher than that of the control group （ P〈0.05 ） . There were no significant difference in miniature type, absence type, package type and flat diffuse type between two groups （ P〈0.05 ） ; there was no significant difference in the incidence of complications between two groups （ P〈0.05 ） . Conclusions Compared with single incision, double incisions in phacoemulsification and trabeculectomy for glaucoma and cataract has more significant effect. It can effectively improve intraocular pressure and promote visual acuity.
出处
《实用防盲技术》
2017年第4期154-157,共4页
Journal of Practical Preventing Blind
关键词
切口
超声乳化术
小梁切除术
白内障
青光眼
临床疗效
Incision
Phacoemulsification
Trabeculectomy
Cataract
Glaucoma
Clinical efficacy
