| 引用本文: | 郭秀娟,陈菂,卢浩泉,卢彦.单纯白内障超声乳化摘除与联合房角分离术治疗原发性急性闭角型青光眼的疗效分析[J].中国临床新医学,0,():-. |
| guo xiu juan,chen di,lu hao quan,lu yan.单纯白内障超声乳化摘除与联合房角分离术治疗原发性急性闭角型青光眼的疗效分析[J].中国临床新医学,0,():-. |
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| 摘要: |
| 目的 探讨单纯白内障超声乳化摘除与联合房角分离术治疗原发性闭角型青光眼的临床疗效。方法 回顾性分析2017年2月至2018年8月我科收治的110例（110眼）原发性急性闭角型青光眼合并白内障患者的临床资料，其中55人（55眼）行单纯白内障超声乳化摘除术（A组），55人（55眼）行白内障超声乳化摘除联合房角分离术（B组），两组术中均植入人工晶体。除术前所有临床资料外，收集患者术后1周和术后6月的临床资料，包括最佳矫正视力、眼压、房角开放程度及并发症，进行对比分析。结果 两组患者一般临床资料比较结果无统计学差异，具有可比性。两组患者最佳矫正视力在术后1周和术后6月均较术前明显提高，差异有统计学意义（P=0.000）。两组患者之间最佳矫正视力在各个时间点均无统计学差异（P＞0.05）。两组患者眼压水平在术后1周和术后6月均较术前明显下降，差异有统计学意义（P=0.000）。两组患者之间眼压在各个时间点均无统计学差异（P＞0.05）。两组患者房角开放程度在术后均较术前明显提高，差异有统计学意义（P=0.000）。平均房角开放程度在A组比B组略高，但差异无统计学意义（P＞0.05）。结论 采用单纯白内障超声乳化摘除或联合房角分离术，均可使原发性急性闭角型青光眼患者的眼压在近期和中远期取得良好的控制。 |
| 关键词: 原发性急性闭角型青光眼 白内障超声乳化摘除术 房角分离术 白内障 |
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| 基金项目:佛山市卫生和计生局医学科研课题资助(编号:20180104) |
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| Efficacy of phacoemulsification with or without goniosynechialysis for primary acute angle-closure glaucoma |
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guo xiu juan, chen di, lu hao quan, lu yan
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The Second People’s Hospital of Foshan
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| Abstract: |
| Objective To investigate the clinical effect of phacoemulsification and combined goniosynechialysis for primary angle-closure glaucoma.Methods The clinical data of 110 patients (110 eyes) of primary acute angle-closure glaucoma with cataract treated in our hospital from February 2017 to August 2018 were retrospectively analyzed. 55 cases (55 eyes) underwent phacoemulsification alone (group A) and 55 cases (55 eyes) underwent phacoemulsification combined with goniosynechialysis (group B). Intraocular lenses were implanted in both groups. In addition to all clinical data before surgery, clinical data of 1 week, and 6 months after surgery were collected, including best corrected visual acuity（BCVA）, intraocular pressure（IOP）, degree of angle opening and complications. Results No statistical significance exist in the general clinical data between the two groups, and the results of two groups were comparable. The BCVA levels of the two groups were significantly increased in 1 week, and 6 months after operation than those before operation, and the difference was statistically significant (P=0.000). No significant difference in BCVA between the two groups at each follow-up time point (P > 0.05). The IOP level of the two groups decreased significantly in 1 week, and 6 months after operation (P=0.000). No significant difference in IOP between the two groups at each follow-up time point (P > 0.05). The degree of angle opening in both groups was significantly improved after operation compared with that before operation (P=0.000). The average degree of angle opening in group A was slightly higher than that in group B, but there was no significant difference (P＞0.05).Conclusion Phacoemulsification alone or combined goniosynechialysis can effectively control the IOP of primary acute angle closure glaucoma in the near future and in the medium and long term. |
| Key words: Primary acute angle-closure glaucoma Phacoemulsification Goniosynechialysis Cataract |
