摘要
目的:对比青光眼合并白内障的不同联合手术的治疗效果。方法:于笔者所在医院2017年10月-2018年10月收治的青光眼合并白内障患者中随机选取84例作为样本。采用随机数字表法将其分为两组,每组42例。对照组行白内障囊外摘除人工晶体置入+青光眼小梁切除术治疗,观察组行白内障超声乳化人工晶状体置入+小梁切除术治疗。比较两组临床疗效、眼压、视力及并发症发生率。结果:观察组总有效率为92.86%、术后眼压(10.59±1.13)mm Hg、视力(0.76±0.10)、并发症发生率为2.38%。对照组总有效率73.81%、术后眼压(32.36±1.52)mm Hg、视力(0.40±0.12)、并发症发生率为19.05%。两组比较差异均有统计学意义(P<0.05)。结论:行白内障超声乳化人工晶状体置入+小梁切除术治疗青光眼合并白内障,效果显著,并发症少,能够有效降低眼压,改善视力,从而提升患者的生活质量。
Objective:To compare the effect of different combined surgery for glaucoma complicated with cataract.Method:Among the glaucoma complicated with cataract patients admitted in our hospital from October 2017 to October 2018,84 cases were randomly selected as the samples.They were divided into two groups by random number table method,with 42 cases in each group.The control group was treated with extracapsular cataract extraction and intraocular lens implantation and trabeculectomy for glaucoma,and the observation group was treated with phacoemulsification and intraocular lens implantation and trabeculectomy.The clinical efficacy,intraocular pressure,visual acuity and incidence of complications were compared between the two groups.Result:The total effective rate in the observation group was 92.86%,postoperative intraocular pressure was (10.59±1.13) mm Hg,visual acuity was (0.76±0.10),and the incidence of complications was 2.38%.The total effective rate in the control group was 73.81%,postoperative intraocular pressure was (32.36±1.52) mm Hg,visual acuity was (0.40±0.12),and the incidence of complications was 19.05%.The differences between the two groups were statistically significant (P<0.05).Conclusion:Phacoemulsification and intraocular lens implantation and trabeculectomy in the treatment of glaucoma complicated with cataract has a significant effect and few complications,which can effectively reduce intraocular pressure,improve visual acuity and improve the quality of life of patients.
作者
林毓妮
LIN Yuni(Xiamen Haicang Hospital,Xiamen 361000,China)
出处
《中外医学研究》
2020年第10期126-128,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
青光眼
白内障
联合手术
Glaucoma
Cataract
Combined surgery
