超声乳化白内障吸除联合小梁切除治疗青光眼合并白内障临床观察

目的：探讨超声乳化白内障吸除联合小梁切除应用于青光眼合并白内障的临床疗效。方法对收治的72例青光眼合并白内障患者按照随机数字表法分为联合组和对照组各36例，联合组采用超声乳化白内障吸除联合小梁切除术治疗，对照组则单纯采用小梁切除术治疗，比较两组患者在视力、眼压、前房深度以及术后并发症等方面的差异。结果治疗后，两组眼压、前房深度均较术前明显改善（ t ＝2．98、3．06、15．21、5．17，均P＜0．05），联合组的眼压（10．65±1．58）mmHg、前房深度（2．41±0．81）mm与对照组差异均有统计学意义（t＝4．98、3．22，均P＜0．05）。手术后1周、1个月及3个月，联合组视野均明显优于对照组（t＝2．87、3．38、4．01，均P＜0．05）。联合组手术并发症发生率（11．11％）明显低于对照组（25．00％）（χ2＝3．98，P＜0．05）。结论与传统的方法相比，超声乳化白内障吸除联合小梁切除应用于青光眼合并白内障具有疗效显著、不良反应发生率低、术后对眼压控制满意、视力恢复快等特点，值得加以推广并应用。

Clinical observation of cataract phacoemulsification combined with trabeculectomy for treatment of glaucoma complicated with cataract treatment

Objective To investigate the phacoemulsification combined with trabeculectomy in glaucoma complicated with cataract treatment clinical curative effect.Methods 72 cases of glaucoma patients with cataract were randomly divided into the combined group and control group with 36 cases in each group,the combined group using phacoemulsification and trabeculectomy in the treatment,while the control group was treated with trabeculecto-my,combined group and control differences in visual acuity,intraocular pressure,anterior chamber depth and postoper-ative complications of patients were compared.Results After treatment,the two groups of intraocular pressure （ list the concrete data ） , anterior chamber depth （ list the concrete data ） were （ list the concrete data ） significantly improved （t=2.98,3.06,15.21,5.17,all P〈0.05）.In addition,the intraocular pressure after the operation of the combination group （10.65 ±1.58） mmHg,anterior chamber depth （2.41 ±0.81） mm compared with the control group after obvious difference （t=4.98,3.22,all P〈0.05）.In 1 weeks after operation,1 months and 3 months com-bined group＆#39;s vision is significantly superior to the control group （t=2.87,3.38,4.01,all P〈0.05）.The incidence of complications of operation united group （ 11.11%） was significantly lower than the control group （ 25.00%） （χ2 =3.98,P〈0.05）.Conclusion Compared with the traditional method,phacoemulsification and trabeculectomy for glaucoma and cataract treatment has obvious curative effect,low incidence of adverse reactions,postoperative IOP control satisfaction,faster visual recovery characteristics,deserves generalization and application.