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目的:比较超声乳化联合小梁切除术不同切口治疗闭角型青光眼伴发白内障的效果。方法:前瞻性研究。选取2016年9月至2019年2月南阳南石医院眼科闭角型青光眼伴白内障128例(128眼)为研究对象，随机分为单切口组和双切口组，每组各64例。比较两组的疗效。结果:手术后，单切口组有效率为95.31%(61/64)，双切口组有效率为90.63%(58/64)，差异无统计学意义(n χ2＝1.076，n P＝0.300)；术后矫正视力均较术前提高，差异均有统计学意义(n t＝36.825，47.712；n P＝0.000，0.000)；手术后两组眼压有明显降低，角膜内皮细胞变异系数有明显提高，两组组间的差异均有统计学意义(均n P0.05)。n 结论:超声乳化联合小梁切除术治疗闭角型青光眼伴发白内障术后功能性滤过泡形成率双切口高于单切口手术组。“,”Objective:To compare the efficacy between different incisions of phacoemulsification combined with trabeculectomy for cataract with angle-closure glaucoma.Methods:A prospective study. From Sep. 2016 to Feb. 2019, 128 eyes of 128 patients with angle-closure glaucoma and cataract who received phacoemulsification combined with trabeculectomy in Nanyang Nanshi Hospital were randomly divided into two groups, 64 cases in single incision group and 64 cases in double-incision group. The surgical efficacy of two groups were compared.Results:The surgical effective rate of the single-incision group was 95.31% (61/64) and the double-incision group was 90.63% (58/64), there was no statistically significant difference (n χ2=1.076, n P=0.300). The corrected visual acuity were improved after surgery after surgery, the differences were statistically significant between before and after surgery (n t=36.825, 47.712; n P=0.000, 0.000). After surgery, the intraocular pressure in the two groups decreased significantly, and the coefficient of corneal endothelial cell variation increased significantly, with statistically significant differences (all n P0.05).n Conclusion:The double-incision phacoemulsification combined with trabeculectomy is superior to the single-incision operation in terms of the formation of functional filtering blebs in patients with angle-closure glaucoma and cataract.