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基层医院非超乳双切口青白联合术疗效观察 被引量:4

Observation on therapeutic effect of non-phacoemulsification double incision combined cataract and glaucoma surgery that fit for primary hospital
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摘要 目的 探讨适合基层医院的非超声乳化透明角膜切口白内障囊外摘除折叠式人工晶状体植入联合青光眼小梁切除术治疗青光眼合并白内障的疗效.方法 回顾性分析自2005年3月至2009年3月在邱县中心医院就诊的36例非超声乳化透明角膜切口白内障囊外摘除折叠式人工晶状体植入联合青光眼小梁切除术治疗青光眼合并白内障患者的临床资料.结果 术后随访6个月,患者视力较术前显著提高差异有统计学意义(P<0.01),眼压由术前平均(30.6±5.3) mmHg降至术后(14.2±4.1) mmHg差异有统计学意义(P<0.01),功能性滤过泡者33例,占91.7% (33/36).术中术后均无严重并发症.结论 非超声乳化透明角膜切口白内障囊外摘除折叠式人工晶状体植入联合青光眼小梁切除术是治疗慢性闭角型青光眼合并白内障的一种经济、安全、有效地方法. Objective To explore the therapeutic effect of non-phacoemulsification clear cornea incision extracapsular extraction with foldable intraocular lens implantation combined trabeculectomy for glaucoma accompany cataract.Methods Thirty-six cases of glaucoma patients accompany cataract underwent non-phacoemulsification clear cornea incision extracapsular extraction folded intraocular lens implantation combined trabeculectomy surgery were retrospectively analyzed.Results All patients were followed up for six months.The post-operative visual acuity were improved significantly compared with preoperative (P <0.01).The intraocular pressure decreased from (30.6±5.3)mmHg before operation to (14.2±4.1)mmHg after operation.Function filtrating belb were obtained in 33 cases,accounted for 91.7% (33/36).No serious complications were observed.Conclusions Non-phacoemulsification clear cornea incision extracapsular extraction with foldable intraocular lens implantation combined trabeculectomy is an economic,safe and effective way for glaucoma accompany cataract.
作者 崔凤肖
出处 《中国实用眼科杂志》 CSCD 北大核心 2014年第12期1481-1483,共3页 Chinese Journal of Practical Ophthalmology
关键词 非超声乳化透明角膜切口白内障囊外摘除 小梁切除术 联合手术 Non-phacoemulsification clear corneal incision extracapsular cataract extraction Trabeculectomy Combined surgery
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