急性闭角型青光眼合并白内障的治疗方法和临床疗效分析

Acute Angle-closure Glaucoma with Cataract Treatment and the Clinical Curative Effect Analysis

目的:探讨分析急性闭角型青光眼合并白内障的两种不同手术治疗方式和临床疗效。方法:选取2008年1月-2011年6月来本院进行治疗的急性闭角型青光眼合并白内障患者,选择房角开放大于1/4象限者共80例,随机平均分为两组,实验组进行小切口白内障摘除术+人工晶状体植入术+虹膜根切术,对照组进行小切口白内障摘除术+人工晶状体植入术+小梁切除术,术后随访6个月,记录早期及6个月后的视力、眼压、前方深度等情况,统计比较两组的并发症发生情况。结果:两组术后早期视力、眼压、前房深度差异无统计学意义(P>0.05),6个月后,因眼压升高造成视力下降者,实验组2只眼,对照组3只眼,两组间差异无统计学意义(P>0.05)。两组术后并发症的发生差异无统计学意义(P>0.05)。结论:急性闭角型青光眼合并白内障的两种手术效果均良好,均值得临床推广应用。

Objective ：To study the acute angleclosure glaucoma and and cataract of two different surgical therapy treatment and the clinical effect. Method ：Selected from January 2008 to June 2011 to our hospital for treatment of acute angleclosure glaucoma patients with cataract, choose a corner than 1/4 quadrant of the open 80 cases were randomly divided into two groups on average, and the small incision cataract surgery clear , intraocular lens （iol） implantation and iris root cut method, and the control group small incision cataract surgery clear , intraocular hens （iol） implantation and trabeculectomy, the followup of 6 months, record and 6 months after the early vision of, statistical compared with two groups of complications. Result ：Two groups of early postoperative visual acuity, intraocular pressure, anterior chamber depth difference was statistically significant, six months later, because of increased intraocular pressure caused by the vision loss, and the 2 eye, the control group 3 eye, between the groups was no statistically difference （P〉0.05）. Two groups of complication was no statistical difference （P〉0.05）.Conelusion ：Acute angle closure glaucoma with cataract surgery are two good effect, all is worth clinical application.