超声乳化联合房角分离术治疗白内障合并闭角型青光眼患者的效果及对术后并发症的影响

Effect of combined phacoemulsification and angle separation surgery on patients with cataract combined with angle closure glaucoma and its impact on postoperative complications

目的探讨超声乳化联合房角分离术治疗白内障合并闭角型青光眼患者的临床效果以及对并发症产生的影响。方法选取2018年2月—2024年4月期间收治的白内障合并闭角型青光眼患者100例,采用随机数字表法分为对照组和观察组(各50例)。对照组治疗方案为超声乳化+人工晶体植入术,观察组治疗方案为超声乳化+人工晶体植入术联合房角分离术。以治疗效果、术后并发症发生情况、生活质量改善情况作为观察指标。结果与对照组比较分析,观察组治疗总有效率较高(P<0.05)。观察组术后并发症发生率低于对照组,差异显著(P<0.05)。生活质量指标在治疗前,两组间差异无统计学意义(P>0.05),治疗后,两组生活质量指标均升高,观察组高于对照组(P<0.05)。结论超声乳化+人工晶体植入术联合房角分离术治疗白内障合并闭角型青光眼具有突出作用效果,可减少患者术后并发症发生,利于其生活质量改善,值得广泛应用于临床。

Objective To explore the clinical efficacy of phacoemulsification combined with angle separation surgery on patients with cataract and angle closure glaucoma and its impact on complications.Methods A total of 100 patients with cataract combined with angle closure glaucoma admitted between February 2018 and April 2024 were selected and randomly divided into a control group and an observation group,with 50 patients in each group,using a random number table method.The control group patients were treated with cataract phacoemulsification combined with artificial lens implantation,while the observation group patients were treated with cataract phacoemulsification combined with artificial lens implantation and angle separation surgery.Observation indicators included treatment efficacy,incidence of postoperative complications,and improvement in quality of life.Results Compared with the control group,the observation group had a higher total effective rate of treatment(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Before treatment,the quality of life indicators were comparable between the control group and the observation group(P>0.05).After treatment,both groups showed an increase in the quality of life indicators,and the observation group had higher scores than the control group(P<0.05).Conclusion The application of phacoemulsification combined with artificial lens implantation and angle separation has a prominent effect in the treatment of cataract and angle closure glaucoma,which can reduce the occurrence of postoperative complications and improve the quality of life of patients.It is worthy of widespread clinical application.