白内障超声乳化联合小梁切除手术疗效分析

The efficacy of phacoemulsification combined with trabeculectomy.

目的 评价白内障超声乳化、小梁切除联合手术 3种不同术式的疗效。方法 以 3种不同的术式对 34例青光眼合并白内障患者行联合手术。A组 ,自巩膜隧道切口进行超声乳化 ,切口处做巩膜瓣 ,瓣下小梁切除。B组 ,隧道切口旁做巩膜瓣。C组 ,透明角膜隧道 ,其它部位行小梁切除。比较 3组术后眼压、视力、滤过泡通畅及并发症情况。结果 术后 3组眼压分别降低 (9 47± 2 44)mmHg、(1 0 2 5± 2 83)mmHg、(1 0 54± 3 0 9)mmHg较术前眼压差异具有显著性 (P <0 0 5)。3组间差异无显著性 (P >0 0 5)。结论 白内障超声乳化联合小梁切除手术 3种术式在控制眼压恢复视力方面作用基本相同 ,具有视力恢复快。

Objective To evaluate the effect of three approaches in phacoemulsification combined with trabeculectomy.Methods Three approaches were performed on thirty four patients (34 eyes) with coexisting glaucoma and cataract. Intraocular pressure (IOP) control,the visual acuity improvement,filtering bleb and complications between three approaches were compared.Results The postoperative IOP of three groups were (9.47±2.44)mmHg,(10.25±2.93)mmHg,(10.54±3.09)mmHg lower than those before surgery ( P <0.05).There was no significant difference between the three groups ( P >0.05).Conclusion The effects are similar between the three approaches.The triple procedure appears effective for treating patients with coexisting glaucoma and cataract,improving the valid visual acuity,reducing IOP and having less complications.