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超声乳化联合房角分离及青光眼白内障联合手术治疗白内障继发青光眼疗效对比 被引量:1

Comparison of Efficacy of Phacoemulsification Combined with Angle Separation and Glaucoma Cataract Combined Surgery for Cataract Secondary Glaucoma
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摘要 目的研究青光眼白内障联合手术与超声乳化联合房角分离术两种手术方式治疗白内障继发青光眼的临床治疗效果。方法方便选取该院自2015年1月—2019年10月接受不同手术方式治疗白内障继发青光眼患者100例作为研究对象,随机分为治疗组(40例)与对照组(60例)两组,分别采用青光眼白内障联合手术与超声乳化联合房角分离术治疗。观察两组患者术后视力恢复、眼压下降及前房深度变化情况,比较两组患者术后治疗效果。结果从患者术后视力恢复、眼压下降及前房深度变化情况等指标看,手术前,两组数据差异无统计学意义(P>0.05);手术后,观察组患者的视力、眼压及前房深度分别为(0.7±0.1)、(16.7±2.5)mmHg及(3.4±0.2)mm,明显优于对照组的(0.5±0.2)、(19.3±3.2)mmHg及(3.0±0.3)mm,两组数据差异有统计学意义(t=8.911、11.383、9.077,P<0.05)。从患者术后治疗效果及治疗有效率看,两组患者中治愈、好转及无效的患者数分别为31、7、2例和33、19、8例,治疗组无效的患者数明显低于对照组,治疗组的治疗有效率为95.0%,明显高于对照组的86.7%(χ^2=9.187,P<0.05),两组患者治疗效果差异有明显统计学意义。结论对白内障继发青光眼患者的治疗,采用青光眼白内障联合手术,具有较好的治疗效果,既有效地促进患者视力恢复,又降低了患者眼压。 Objective To study the clinical effect of glaucoma combined surgery with cataract surgery and phacoemulsification combined with angle separation in the treatment of cataract secondary glaucoma.Methods A total of 100 patients with cataract secondary glaucoma who underwent different surgical methods from January 2015 to october 2019 were convenient selected as the research subjects.They were randomly divided into two groups:the treatment group(40 cases)and the control group(60 cases).Combined with glaucoma cataract surgery and phacoemulsification combined with angle separation surgery.The postoperative visual acuity recovery,intraocular pressure drop,and anterior chamber depth of the two groups were observed,and the postoperative treatment effects of the two groups were compared.Results From the indicators of postoperative visual acuity recovery,intraocular pressure drop,and anterior chamber depth change,there was no significant statistical difference between the two groups of data before surgery(P>0.05);after surgery,the visual acuity and intraocular pressure,and anterior chamber depth of the observation group were(0.7±0.1),(16.7±2.5)mmHg,and(3.4±0.2)mm,which were significantly better than(0.5±0.2),(19.3±3.2)mmHg,and(3.0±0.3)mm in the control group.The difference in data was statistically significant(t=8.911、11.383、9.077,P<0.05).From the perspective of the postoperative treatment effect and the effective rate of treatment,the number of cured,improved,and ineffective patients in the two groups was 31,7,2 and 33,19,8 respectively.The number of ineffective patients in the treatment group was significantly lower than the control group,the effective rate was 95%in the treatment group,which was significantly higher than 86.7%in the control group(χ^2=9.187,P<0.05).The difference in treatment effect between the two groups of patients was statistically significant.Conclusion For the treatment of patients with secondary glaucoma due to cataract,glaucoma combined with cataract surgery has a good therapeutic effect,which can effectively promote the vision recovery of patients and reduce the patient's intraocular pressure.
作者 杨庆 YANG Qing(Department of Ophthalmology,Xuyu Traditional Chinese Medicine Hospital,Xuyu,Jiangsu Province,211700 China)
出处 《中外医疗》 2020年第7期73-75,共3页 China & Foreign Medical Treatment
关键词 白内障继发青光眼 青光眼白内障联合手术 超声乳化联合房角分离术 临床效果 Secondary cataract glaucoma Glaucoma combined cataract surgery Phacoemulsification combined with angle separation Clinical effect
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