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《超聲乳化白內(nèi)障吸除聯(lián)合房角分離治療急性閉角型青光眼合并白內(nèi)障的療效》由會員上傳分享，免費在線閱讀，更多相關內(nèi)容在學術論文-天天文庫。
1、分類號：R775.2學校代碼：10392學科專業(yè)代碼：105111學號：200803238福建醫(yī)科大學碩士學位論文超聲乳化白內(nèi)障吸除聯(lián)合房角分離治療急性閉角型青光眼合并白內(nèi)障的療效Effectofphacoemulsificationandgoniosynechialysisinacuteangle-closureglaucomaandco-existingcataractpatients學位類型：臨床醫(yī)學碩士所在學院：協(xié)和臨床醫(yī)學院申請人：胡小坤學科、專業(yè)：眼科學導師：翁景寧教授莊鵬教授研究起止日期：2011年01月至2012年01月答辯日期：2012年06月0
2、5日二○一二年六月萬方數(shù)據(jù)1萬方數(shù)據(jù)目錄英文縮略詞表······················································2中文摘要··························································3英文摘要··························································4前言··························································5資料與方法············
3、············································6結果··························································10討論··························································12結論··························································17參考文獻··················································
4、········18致謝··························································22綜述··························································232萬方數(shù)據(jù)英文縮略詞表PACG(primaryangle-closureglaucoma)原發(fā)性閉角型青光眼APACG(acuteprimaryangle-closureglaucoma)原發(fā)性急性閉角型青光眼IOP(intraocularpressure)眼壓ACD(anteriorchamberd
5、epth)中央前房深度LCD(limbalchamberdepth)周邊前房深度CT(cornealthickness)角膜厚度UBM(ultrasoundbiologicalmicroscope)超聲生物顯微鏡IOL(intraocularlens)人工晶狀體3萬方數(shù)據(jù)超聲乳化白內(nèi)障吸除聯(lián)合房角分離治療急性閉角型青光眼合并白內(nèi)障的療效摘要目的：分析超聲乳化白內(nèi)障吸除聯(lián)合人工晶狀體植入和房角分離治療原發(fā)性急性閉角型青光眼合并白內(nèi)障的臨床效果和安全性。對象與方法：回顧性分析研究2008年9月到2011年12月在我院住院且資料完整的原發(fā)性急性閉角型青光眼合并白內(nèi)障患者
6、47例（54眼）；其中男性13例（15眼），女性34例（39眼）。年齡56～83歲，平均（68.2±6.9）歲。入院后在降眼壓后行超聲乳化白內(nèi)障吸除聯(lián)合人工晶狀體植入和房角分離，分析術前術后視力、眼壓、中央前房深度、周邊前房深度、房角開放情況及并發(fā)癥。隨訪時間為1～12個月，平均（7.23±3.56）個月。結果：54眼術后最佳矯正視力較術前明顯提高，差異有統(tǒng)計學意義（Z=6.244，P＜0.05）；術前經(jīng)降眼壓治療后平均眼壓為(18.94±5.10)mmHg，術后為(11.81±3.22)mmHg，術后眼壓明顯下降，差異有統(tǒng)計學意義（t=11.896，P＜0.05
7、）；術前平均中央前房深度為（1.83±0.29）mm，術后為（3.53±0.43）mm，術后中央前房深度明顯加深，差異有統(tǒng)計學意義（t=27.750，P＜0.05）；術后周邊前房深度較術前明顯加深，差異有統(tǒng)計學意義（Z=9.703，P＜0.05）；術后房角均較術前有不同程度的開放，差異有統(tǒng)計學意義（Z=9.187，P＜0.05）。結論：超聲乳化白內(nèi)障吸除聯(lián)合人工晶狀體植入和房角分離對原發(fā)性急性閉角型青光眼合并白內(nèi)障患者的視力、眼壓、前房深度、房角等方面都產(chǎn)生積極有益的影響，臨床效果好且安全。關鍵詞：超聲乳化白內(nèi)障吸除術，房角分離術，閉角型青光眼，白內(nèi)障4萬方數(shù)據(jù)E
8、ffect
