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目的探讨不同术式治疗闭角型青光眼合并白内障的临床疗效。方法 60例闭角型青光眼合并白内障患者作为研究对象,随机分为观察组与对照组,每组30例。对照组予以青光眼以及白内障分步手术治疗,观察组予以三联治疗,即双切口超声乳化白内障摘除术联合人工晶状体植入术以及小梁切除术治疗,对两组患者手术前后眼压、散光情况、视力以及并发症发生率进行比较。结果术前,两组患者眼压、散光情况、视力水平比较差异无统计学意义(P>0.05);术后,观察组患者眼压、散光情况、视力水平均明显优于对照组,差异均具有统计学意义(t=2.807、2.216、25.137,P=0.007、0.031、0.000<0.05)。观察组患者并发症总发生率为6.7%,明显低于对照组的26.7%,差异具有统计学意义(χ~2=4.320,P=0.038<0.05)。结论双切口超声乳化白内障摘除术联合人工晶状体植入术以及小梁切除术治疗闭角型青光眼合并白内障疗效显著,安全性较高,可有效改善患者的视力状况,降低并发症发生率,值得临床推广应用。
Objective To investigate the clinical effects of different surgical treatment of angle-closure glaucoma combined with cataract. Methods Sixty patients with angle-closure glaucoma and cataract were randomly divided into observation group (n = 30) and control group (n = 30). The control group was treated with glaucoma and cataract step by step. The observation group was treated with triple therapy, namely double incision phacoemulsification combined with intraocular lens implantation and trabeculectomy. The intraocular pressure, astigmatism, Visual acuity and complication rates were compared. Results There was no significant difference in IOP, astigmatism and visual acuity between the two groups before surgery (P> 0.05). The intraocular pressure, astigmatism and visual acuity of the observation group were significantly better than those of the control group Statistically significant (t = 2.807, 2. 216, 25.137, P = 0.007, 0.031, 0.000 <0.05). The total incidence of complications in the observation group was 6.7%, which was significantly lower than that in the control group (26.7%) (χ ~ 2 = 4.320, P = 0.038 <0.05). Conclusions Double-incision phacoemulsification combined with intraocular lens implantation and trabeculectomy in the treatment of angle-closure glaucoma with cataract have significant efficacy and safety, which can effectively improve the visual acuity and reduce the incidence of complications in patients with clinically Promote the application.