超声乳化白内障吸除、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分析

摘要目的：探讨超声乳化白内障吸除、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的临床疗效。方法：将2007年8月-2012年8月入住我院的100例经诊断为白内障合并青光眼患者随机地均分为对照组与观察组，各为50例。对照组仅给予超声乳化人工晶状体植入术，观察组在此基础上给予联合小梁切除术进行治疗，比较两组治疗前后的视力、眼压、中央房前深度、房角开放状态变化、视野及并发症发生率。结果：（1）对照组患者术后1周、1个月及3个月视力均要高于术前，且术后1个月与3个月视力较术前差异具有统计学意义（P〈0．05）；观察组患者术后1周、1个月及3个月均要明显高于术前，术后视力较术前均具有显著的统计学意义（P〈0．01），且与对照组术后相比，差异均具有统计学意义（P〈0．05）。（2）两组手术前后眼压、房角开放状态变化、中央前房深度及视野差异均具有统计学意义（P〈O．05，P〈O．01），且观察组术后较对照组术后差异均有统计学意义（P〈0．05）。（3）对照组并发症发生率为22．00％，明显高于观察组（8．00％），二者差异具有显著的统计学意义（P〈0．01）。结论：超声乳化白内障吸除、人工晶状体植入联合小梁切除术治疗白内障合并青光眼，临床疗效显著，术后恢复快，并发症发生率低，应在临床上加以推广并应用。

Analysis of the Clinical Efficacy Analysis of Phacoemulsification, Intraocular Lens Implantation Joint with Trabeculectomy for Treatment ofCataract and Glaucoma

Objective： To investigate the clinical efficacy of the phacoemulsification, intraocular lens implantation joint with tra- beculectomy surgery for cataract and glaucoma. Methods： 100 cases of patients diagnosed with cataract and glaucoma to stay in our hos- pital during 2007.08-2012.08 were randomly divided into a control group and an observation group, each group was 50 cases. The control group received the phacoemulsification and intraocular lens implantation, and the observation group were accepted the trabeculectomy for treatment on basis of the control group. Visual acuity, intraocular pressure, central room before depth, angle open state change vision and incidence of complications were compared before and after treatment between the two groups. Results： （1） The visual acuity of one week, one month and three months were all higher than that before treatment in the control group, and there was a statistical difference of the visual acuity after one month and three months in comparison with preoperative treatment （P 〈0.05）. The visual acuity of one week, one month and three months were all higher than that before treatment in the observation group, and there was a significantly statistical difference of the visual acuity after one week, one month and three months in comparison with preoperative treatment （P 〈0.01）. And there was a statistical difference in postoperative treatment between the two groups （P 〈0.05）. （2） There was a statistical difference of the intraocular pressure, changes in the angle open state, the central anterior chamber depth and vision differences in the two groups before and after treatment （P 〈0.05, P 〈0.01）, and there was a statistical difference in postoperative treatment between the two groups （P 〈0.05）. （3） The rate of complications in the control group was 22.00%, which was significantly higher than that in the observation group（8.00%）, and there was a significantly statistical difference between the two groups （P 〈0.01）. Conclusion： Phacoemulsification, intraocular lens implantation joint with trabeculectomy for treatment of cataract and glaucoma, has a significantly clinical effect, a rapid postoperative recovery, a low complication rate, and it should be promoted and applied in clinical practice.