青光眼合并白内障的不同联合手术方式疗效对比分析(1)
【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。
【关键词】 青光眼 白内障 联合手术
doi：10.14033/j.cnki.cfmr.2020.10.053 文献标识码 B 文章编号 1674-6805(2020)10-0-03
Comparative Analysis of Different Combined Surgery Methods for Glaucoma Complicated with Cataract/LIN Yuni. //Chinese and Foreign Medical Research， 2020， 18(10)： -128
[Abstract] 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.
[Key words] Glaucoma Cataract Combined surgery
First-author’s address： Xiamen Haicang Hospital， Xiamen 361000， China
青光眼及白內障均为临床常见的眼科疾病，当白内障处于发展期、成熟期时，患者罹患青光眼的风险一般较高[1]。导致上述现象出现的原因，与晶体膨胀向前推挤眼内房水外流，以及混浊晶体成分溢出到眼内诱发炎性反应有关[2]。因此，部分眼科患者青光眼可与白内障一同发病，导致治疗难度增加，致使视力下降，影响患者的生活质量[3]。青光眼合并白内障的治疗术式，包括白内障囊外摘除人工晶体置入+青光眼小梁切除术、白内障超声乳化人工晶状体置入+小梁切除术两种[4]。有学者在研究中指出，根据手术方式的不同，临床疗效也不同[5]。本文于笔者所在医院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，对比不同联合手术方式的临床疗效，现报道如下。, 百拇医药(林毓妮)
【关键词】 青光眼 白内障 联合手术
doi：10.14033/j.cnki.cfmr.2020.10.053 文献标识码 B 文章编号 1674-6805(2020)10-0-03
Comparative Analysis of Different Combined Surgery Methods for Glaucoma Complicated with Cataract/LIN Yuni. //Chinese and Foreign Medical Research， 2020， 18(10)： -128
[Abstract] 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.
[Key words] Glaucoma Cataract Combined surgery
First-author’s address： Xiamen Haicang Hospital， Xiamen 361000， China
青光眼及白內障均为临床常见的眼科疾病，当白内障处于发展期、成熟期时，患者罹患青光眼的风险一般较高[1]。导致上述现象出现的原因，与晶体膨胀向前推挤眼内房水外流，以及混浊晶体成分溢出到眼内诱发炎性反应有关[2]。因此，部分眼科患者青光眼可与白内障一同发病，导致治疗难度增加，致使视力下降，影响患者的生活质量[3]。青光眼合并白内障的治疗术式，包括白内障囊外摘除人工晶体置入+青光眼小梁切除术、白内障超声乳化人工晶状体置入+小梁切除术两种[4]。有学者在研究中指出，根据手术方式的不同，临床疗效也不同[5]。本文于笔者所在医院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，对比不同联合手术方式的临床疗效，现报道如下。, 百拇医药(林毓妮)
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