【摘要】：目的評估超聲乳化人工晶狀體植入聯(lián)合小梁切除術(shù)治療急性閉角型青光眼合并年齡相關(guān)性白內(nèi)障的療效。方法回顧性分析2012年1月至2013年12月于我院住院治療的急性閉角型青光眼合并年齡相關(guān)性白內(nèi)障患者54例(56眼)的臨床資料,根據(jù)手術(shù)方式不同分為2組,A組行超聲乳化人工晶狀體植入聯(lián)合小梁切除術(shù),B組行超聲乳化吸出人工晶狀體植入術(shù),分析兩組術(shù)前及術(shù)后2個月視力、眼壓、前房深度、前房角寬度改善情況及并發(fā)癥情況等。結(jié)果 2組術(shù)后視力較術(shù)前均不同程度提高,差異均有統(tǒng)計學(xué)意義(均為P0.05);2組患者術(shù)后視力組間比較,差異無統(tǒng)計學(xué)意義(χ2=0.132,P=0.716)。2組術(shù)前眼壓分別為(23.15±2.47)mm Hg(1 k Pa=7.5 mm Hg)、(23.94±3.07)mm Hg,術(shù)后眼壓分別為(14.95±1.86)mm Hg、(13.72±2.41)mm Hg,2組術(shù)前眼壓差異無統(tǒng)計學(xué)意義(t=1.061,P=0.294);2組術(shù)后眼壓較術(shù)前均不同程度降低,差異均有統(tǒng)計學(xué)意義(均為P0.05);2組患者術(shù)后眼壓組間比較,差異無統(tǒng)計學(xué)意義(t=1.910,P=0.062)。2組術(shù)后前房深度及前房角寬度較術(shù)前均不同程度增加,差異均有顯著統(tǒng)計學(xué)意義(均為P0.001);2組患者術(shù)后前房深度及前房角寬度比較,差異均無統(tǒng)計學(xué)意義(t=1.300、0.924,P=0.199、0.359)。兩組并發(fā)癥發(fā)生率差異有統(tǒng)計學(xué)意義(χ2=4.383,P=0.036)。結(jié)論超聲乳化人工晶狀體植入聯(lián)合小梁切除術(shù)治療急性閉角型青光眼合并年齡相關(guān)性白內(nèi)障療效確切,并發(fā)癥少,可作為優(yōu)先選擇的手術(shù)方式。
[Abstract]:Objective to evaluate the efficacy of phacoemulsification and intraocular lens implantation combined with trabeculectomy in the treatment of acute angle closure glaucoma with age-related cataract. Methods the clinical data of 54 cases (56 eyes) of acute angle-closure glaucoma with age-related cataract who were hospitalized in our hospital from January 2012 to December 2013 were analyzed retrospectively. According to the different operation methods, two groups were divided into two groups: group A received phacoemulsification intraocular lens implantation and trabeculectomy and group B received phacoemulsification and intraocular lens implantation. The visual acuity, intraocular pressure and anterior chamber depth were analyzed before and 2 months after operation. The angle width of anterior chamber was improved and complications. Results the postoperative visual acuity of the two groups were improved in different degrees compared with those before operation, and the differences were statistically significant (P0.05). There was no significant difference in IOP between the two groups (蠂 ~ 2 / 0.132P ~ (0.716). 2 the preoperative intraocular pressure (IOP) was (23.15 鹵2.47) mm Hg (1 k Pa=7.5 mm Hg), (23.94 鹵3.07) mm Hg,) postoperatively in group 鈪，

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