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超声乳化联合房角分离术治疗闭角型青光眼合并白内障的临床疗效

Clinical efficacy of phacoemulsification combined with goniotomy in the treatment of patients with angleclosure glaucoma complicated with cataract
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摘要 目的探究超声乳化联合房角分离术治疗闭角型青光眼合并白内障患者的临床疗效。方法选取2019年1—7月本院收治的102例闭角型青光眼合并白内障患者作为研究对象,按照治疗方式不同分为两组,各51例。对照组采用白内障超声乳化吸除联合小梁切除术治疗,观察组采用超声乳化联合房角分离术治疗,比较两组临床疗效、眼压、中央前房深度、眼房角开放角度及不良反应发生情况。结果观察组治疗总有效率为96.08%,高于对照组的82.35%,差异有统计学意义(P<0.05)。术后6个月,观察组眼压为(15.52±2.60)mmHg,低于对照组的(16.91±2.43)mmHg,差异有统计学意义(P<0.05)。观察组中央前房深度为(3.36±0.22)mm,深于对照组的(2.93±0.25)mm,观察组眼房角开放角度为(72.23±9.54)°,小于对照组的(80.66±3.78)°,差异有统计学意义(P<0.05);两组不良反应发生率比较差异无统计学意义。结论超声乳化联合房角分离术治疗闭角型青光眼合并白内障患者效果显著,有助于控制患者眼压,值得临床推广应用。 Objective To investigate the clinical efficacy of phacoemulsification combined with goniotomy in the treatment of patients with angle-closure glaucoma complicated with cataract.Methods 102 patients with angle-closure glaucoma complicated with cataract who were admitted to our hospital from January to July 2019 were selected as the research subjects,they were divided into two groups according to the different treatment methods,with 51 cases in each groups.The control group was treated with phacoemulsification combined with trabeculectomy,and the observation group was treated with phacoemulsification combined with goniotomy,the clinical efficacy,intraocular pressure,depth of the central anterior chamber,opening angle of the eye chamber and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 96.08%,which was higher than 82.35%in the control group,and the difference was statistically significant(P<0.05).6 months after operation,the intraocular pressure of the observation group was(15.52±2.60)mmHg,which was lower than(16.91±2.43)mmHg of the control group,and the difference was statistically significant(P<0.05).The depth of the central anterior chamber in the observation group was(3.36±0.22)mm,which was deeper than(2.93±0.25)mm in the control group,and the opening angle of the anterior chamber in the observation group was(72.23±9.54)°,which was smaller than(80.66±3.78)°in the control group,the difference was statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions between the two groups.Conclusion Phacoemulsification combined with goniotomy in the treatment of patients with angle-closure glaucoma and cataract is helpful for the control of intraocular pressure,and is worthy of clinical application.
作者 肖楠 XIAO Nan(Department of Ophthalmology,Jinzhou Central Hospital,Liaoning,Jinzhou,121000,China)
出处 《当代医学》 2022年第24期168-170,共3页 Contemporary Medicine
关键词 超声乳化 房角分离术 闭角型青光眼 白内障 Phacoemulsification Goniotomy Angle-closure glaucoma Cataract
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