小切口非超声乳化和超声乳化术治疗白内障青光眼的疗效比较

Efficacy of small incision non- phacoemulsification and phacoemulsification for patients with cataract and glaucoma

目的:比较小切口非超声乳化和超声乳化手术治疗白内障青光眼的效果。方法:选取2011-10/2014-01于本院进行治疗的56例56眼白内障青光眼患者为研究对象,随机分为A组(小切口非超声乳化术组)28例28眼和B组(超声乳化手术组)28例28眼,对两组患者治疗前后的视力、眼压水平及并发症发生率进行比较。结果:对于治疗前后的视力、眼压水平,两组患者比较均无统计学差异(P>0.05);B组患者并发症发生率虽略高于A组,但无统计学差异(均P>0.05)。而两组患者治疗后视力、眼压均优于治疗前,差异有统计学意义(均P<0.05)。结论:小切口非超声乳化及超声乳化手术治疗白内障青光眼的效果无明显差异,小切口非超声乳化术的适用范围更广。

AIM ： To compare the effect of small incision non-phacoemulsification and phacoemulsification for patients with cataract and glaucoma.METHODS： Fifty- six patients（ 56 eyes） with cataract and glaucoma in our hospital fromOctober 2011 to January 2014 were selected as research objects,and they were randomly divided into group A（ small incision non-phacoemulsification group） with 28 cases and group B（ phacoemulsification group） with 28 cases, then the visual acuity and intraocular pressure（ IOP） before and after the treatment, incidence of complications of two groups were compared.RESULTS： The visual acuity and IOP between group A and group B before and after the treatment had no significant differences（ P〉0. 05）. The incidence of complications of group B was slightly higher than that of group A,but without significant difference（ all P〉0. 05）.The visual acuity and IOP of group A and group B after the treatment were better than those before（ all P〈0. 05）. CONCLUSION： The effect of small incision non-phacoemulsification and phacoemulsification patients with cataract and glaucoma has no obvious differences,while the small incision non- phacoemulsification is with wider application range.