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陈小梅,谢奇英,刘新.超声乳化白内障摘除联合房角分离治疗急性闭角型青光眼合并白内障疗效观察[J].中国医药科学,2019,(16):228-231        基金项目:
超声乳化白内障摘除联合房角分离治疗急性闭角型青光眼合并白内障疗效观察
Observation on curative effects of phacoemul sification cataract extraction combined with goniosynechialysis in treatment of acute angle-closure glaucoma combined with cataract
  
DOI:
中文关键词:  闭角型;白内障;小切口白内障摘除;青光眼
英文关键词:Angle-closure;Cataract;Small incision cataract extraction;Glaucoma
作者单位
陈小梅,谢奇英,刘新 福建省立医院北院 福建省老年医院眼科,福建福州 350000 
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中文摘要:
      [摘要] 目的 分析房角分离、超声乳化配合用于急性闭角型青光眼并白内障治疗的价值。 方法 取 2016 年5 月~ 2018 年 5 月急性闭角型青光眼并白内障者 50 例为研究对象,按随机数字表法分组,对照组共 24 例(小梁切除 + 超声乳化摘除)、观察组共 26 例(房角分离 + 超声乳化摘除),观察不同术式治疗患者角膜散光值、眼压、前房深度、视力治疗前后差异,统计两组并发症发生情况。 结果 治疗后观察组前房深度、视力高于对照组,眼压低于对照组(P < 0.05);观察组术后并发症发生率为 7.7% 低于对照组 20.8%(P < 0.05)。 结论 急性闭角型青光眼并白内障应用超声乳化白内障摘除、房角分离配合治疗方式,临床眼压明显得到降低,视力、前房深度显著改善,且术后并发症较少。
英文摘要:
      [Abstract] Objective To analyze values of phacoemulsification cataract extraction combined with goniosynechialysis in treatment of acute angle-closure glaucoma combined with cataract. Methods 50 patients with acute angle-closure glaucoma combined with cataract who were treated from May 2016 to May 2018 were selected as research objects.According to the random number table method,they were divided into the control group (trabeculectomy and phacoemulsification extraction) with 24 cases and the observation group (goniosynechialysis and phacoemulsification extraction) with 26 cases.Differences in corneal astigmatism,intraocular pressure,anterior chamber depth and visual acuity before and after treatment of different surgical treatments were observed.The incidence of complications in both groups was counted. Results After treatment,anterior chamber depth and visual acuity of the observation group were higher than those of the control group while intraocular pressure was lower than that of the control group(P < 0.05).The postoperative complication rate in the observation group was 7.7% lower than 20.8% in the control group,P < 0.05. Conclusion Application of phacoemulsification cataract extraction combined with goniosynechialysis in treatment of acute angle-closure glaucoma combined with cataract can significantly reduce clinical intraocular pressure and significantly improve visual acuity and anterior chamber depth.In addition,there are fewer postoperative complications.
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