【摘要】 目的:探讨改良小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗白内障合并青光眼的临床疗效。方法:随机选取我院在2008-03/2011-01收治的135例白内障合并青光眼患者,随机分为两组,一组采用改良小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗(观察组68例),另一组采用传统手术治疗(对照组67例),回顾性分析两组患者的临床效果。结果:观察组患者术后1wk;3mo的视力良好率分别为92.6%,88.2%;眼压良好率分别为98.5%,95.6%;观察组患者术后发生角膜水肿、虹膜损伤以及前房炎症等并发症发生率为5.9%,与对照组比较,经统计分析,P均<0.05,差异具有显著性。结论:改良小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术与传统手术比较,极大的提高了患者的治疗效果以及手术安全性,是较为安全可靠的治疗白内障合并青光眼的手术方式。更多还原

【Abstract】 AIM:To discuss the clinical effects of cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract combined with glaucoma.METHODS:Totally 135 patients with cataract combined with glaucoma were selected as objects in our hospital from March 2008 to January 2011.They were randomly divided into observation group and control group,according to different treatment methods.Observation group(cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy group,n=68) and control group(conventional operation group,n=67).We made a retrospective analysis on the clinical effects of the patients in two groups.RESULTS:In observation group,the postoperative good eyesight rates were 92.6% and 88.2% for 1 week and 3 months after the operation;the good intraocular pressure rates were 98.5% and 95.6%;the incidence of complications was 5.9% for corneal edema,iris injury and anterior chamber inflammation.Compared with the control group,P<0.05,there were significant differences after statistical analysis.CONCLUSION:Cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract combined with glaucoma can improve curative effect and operation security,it is a safe and secure surgery method for the treatment of cataract combined with glaucoma.更多还原