摘要
目的探讨3种术式治疗急性闭角型青光眼的效果。方法选取2018年7月至2020年7月于本院确诊的90例(90眼)急性闭角型青光眼患者作为研究对象,随机分为A组、B组和C组,每组30例(30眼)。A组接受白内障超声乳化联合小梁切除术治疗,B组接受单纯小梁切除术治疗,C组接受单纯白内障超声乳化摘除术治疗。比较3组治疗前后眼压、视力、中央前房深度及并发症发生情况。结果3组视力组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后1、2、3个月,3组视力均高于术前,且术后2、3个月均高于术后1个月,术后3个月高于术后2个月,差异有统计学意义(P<0.05)。组间比较:术前,3组视力比较差异无统计学意义;术后1、2、3个月,A组视力均高于B组、C组,且B组高于C组,差异有统计学意义(P<0.05)。3组眼压组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后1、2、3个月,3组眼压均低于术前,且术后2、3个月均低于术后1个月,术后3个月低于术后2个月,差异有统计学意义(P<0.05)。组间比较:术前,3组眼压比较差异无统计学意义;术后1、2、3个月,A组眼压均低于B组、C组,且B组低于C组,差异有统计学意义(P<0.05)。3组中央前房深度组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后1、2、3个月,3组中央前房深度均深于术前,且术后2、3个月均深于术后1个月,术后3个月深于术后2个月,差异有统计学意义(P<0.05)。组间比较:术前,3组中央前房深度比较差异无统计学意义;术后1、2、3个月,A组中央前房深度均深于B组、C组,且B组深于C组,差异有统计学意义(P<0.05)。3组并发症发生率比较差异无统计学意义,且组间两两比较差异均无统计学意义。结论白内障超声乳化联合小梁切除术治疗急性闭角型青光眼可降低患者眼压,有效提高患者视力,增加中央前房深度,减少并发症的发生。
Objective To investigate the clinical study of three surgical methods for the treatment of acute angle-closure glaucoma.Methods 90 patients(90 eyes)with acute angle-closure glaucoma diagnosed in our hospital from July 2018 to July 2020 were selected as the research subjects,and they were randomly divided into the group A,group B and the group C,with 30 cases(30 eyes)in each group.Group A was treated with phacoemulsification and trabeculectomy,group B was treated with trabeculectomy alone,group C received phacoemulsification for cataract alone,the intraocular pressure,visual acuity,central anterior chamber depth before and after treatment and complications were compared among the three groups.Results There were significant differences in visual acuity among the three groups of group,time points and interaction(P<0.05).Comparison within the group:at 1,2 and 3 months after operation,the visual acuity of the three groups were higher than those before operation,and the 2 and 3 months after operation were higher than those at 1 month after operation,and the 3 months after operation was higher than that at 2 months after operation,and the differences were statistically significant(P<0.05).Comparison between groups:before operation,there was no significant difference in visual acuity among the three groups;at 1,2 and 3 months after operation,the visual acuity in the group A was higher than that in the group B and the group C,and the group B was higher than the group C,the differences were statistically significant(P<0.05).There were significant differences in intraocular pressure among the three groups of group,time points and interaction(P<0.05).Comparison within the group:at 1,2 and 3 months after operation,the intraocular pressure of the three groups were lower that those before operation,and the intra-ocular tension at 2 and 3 months after operation were lower that those at 1 month after operation,and the intraocular pressure at 3 months after operation was lower that that at 2 months after operation,and the differen
作者
龚礼苗
王新华
万春泓
GONG Limiao;WANG Xinhua;WAN Chunhong(Department of Ophthalmology,the First Affiliated Hospital of Jiangxi Medical College,Shangrao,Jiangxi,334000,China)
出处
《当代医学》
2023年第18期18-21,共4页
Contemporary Medicine
