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《白內(nèi)障超聲乳化吸除聯(lián)合小梁切除術(shù)與白內(nèi)障囊外摘除聯(lián)合小梁切除術(shù)的療效分析_論文》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、白內(nèi)障超聲乳化吸除聯(lián)合小梁切除術(shù)與白內(nèi)障囊外摘除聯(lián)合小梁切除術(shù)的療效分析【摘要】目的觀察白內(nèi)障超聲乳化吸除聯(lián)合小梁切除術(shù)治療青光眼合并白內(nèi)障的臨床療效。方法回顧分析患青光眼白內(nèi)障在我院行超聲乳化白內(nèi)障吸除人工晶體植入聯(lián)合小梁切除術(shù)的患者82例（82眼）和行白內(nèi)障囊外摘除人工晶體植入聯(lián)合小梁切除術(shù)的患者52例（54眼），記錄手術(shù)前、后的視力和眼壓，記錄手術(shù)并發(fā)癥和濾過泡情況。術(shù)后隨訪至少3個月。結(jié)果兩組術(shù)后1周和3個月矯正視力較術(shù)前明顯提高，眼壓較術(shù)前明顯降低（P均＜）。兩組間術(shù)后視力和眼壓比較，差異無顯著性（P＞）。術(shù)后3個月隨訪，眼壓≥21mmHg者，超乳三聯(lián)術(shù)組
2、2眼，囊外三聯(lián)術(shù)組4眼，兩組比較差異無顯著性（P＞）。手術(shù)并發(fā)癥超乳三聯(lián)術(shù)組明顯低于囊外三聯(lián)術(shù)組，差異有非常顯著性（P＜）。兩組術(shù)后均無嚴(yán)重并發(fā)癥發(fā)生。結(jié)論超聲乳化白內(nèi)障吸除人工晶體植入聯(lián)合小梁切除術(shù)，可安全有效治療青光眼合并白內(nèi)障，且效果優(yōu)于白內(nèi)障囊外摘除人工晶體植入聯(lián)合小梁切除術(shù)?！娟P(guān)鍵詞】超聲乳化白內(nèi)障吸除術(shù)；白內(nèi)障囊外摘除術(shù)；小梁切除術(shù)；青光眼；晶體10/10【Abstract】ObjectiveToevaluatetheclinicaleffectoftrabeculectomycombinedwithphacoemulsificationfortreat
3、mentofglaucomawithcataract.MethodsThisretrospectivestudyincluded134cataractpatients(136eyes)withglaucoma.Amongthem，82patients(82eyes)underwentthecombinedsurgeryoftrabeculectomyandphacoemulsificationwithposteriorchamberintraocularlens(IOL)implantation(phacogroup)，52patients(54eyes)under
4、wenttrabeculectomycombinedwithextracapsularcataractextraction(ECCE)andIOLimplantation(ECCEgroup).Best-correctedvisualacuity(BCVA)andintraocularpressure(IOP)ofpre-andpost-operation，postoperativeblebformationandpostoperativecomplicationswereanalyzed.Allcaseswerefollowedupforover3months.R
5、esultsIntwogroups，in1weekand3monthspostoperation，theBCVAwasobviouslybetterandthemeanIOPwasdistinctlylowerthanthatofpreoperation(P＜).TherewasnosignificantdifferencebetweenthetwogroupsinbothBCVAandIOPpostoperatively(P＞).In310/10monthspostoperatively，onlytwoeyes’IOPwas≥21mmHginphacogroup，
6、andinECCEgrouptherewereonlyfour.TheoperativecomplicationsinphacogroupweresignificantlylessthanthatinECCEgroup(P＜).Noseverepostoperativecomplicationswererevealedinallofoperatedeyes.ConclusionTrabeculectomycombinedwithphacoemulsificationandposteriorchamberintraocularlensimplantationisasu
7、ccessful，safeandeffectivewayoftreatmentforpatientswithglaucomaandcataract.Ithasanadvantageovertrabeculectomycombinedwithextracapsularcataractextractionandintraocularlensimplantation.【Keywords】phacoemulsification；extracapsularextraction；trabeculectomy；glaucoma；lenses對同時患有青光眼和白內(nèi)障的患者，近一
