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双切口三联手术治疗青光眼合并白内障的研究
引用本文:任艳竹,徐洪缨,马建霞,马朝霞.双切口三联手术治疗青光眼合并白内障的研究[J].眼外伤职业眼病杂志,2004,26(1):48-50.
作者姓名:任艳竹  徐洪缨  马建霞  马朝霞
作者单位:开封眼病医院,河南,开封,475000
摘    要:目的探讨双切口三联手术治疗青光眼合并白内障的手术效果.方法对比分析了56例(60眼)青光眼合并白内障的临床资料,其中30眼行巩膜隧道式小切口白内障囊外摘出联合人工晶状体植入术,另作一切口行小梁切除术(双切口组);另30眼行白内障囊外摘出联合人工晶状体植入及小梁切除术(对照组).结果术后1月内,双切口组视力提高明显优于对照组(t=2.12287,P<0.05);术后8月两组的眼压控制程度相似,但对照组需加用抗青光眼药物;功能性滤过泡的形成率两组间的差异有显著意义.结论提示巩膜隧道式小切口白内障手术联合另外切口小梁切除术组(双切口组)的临床效果良好.

关 键 词:双切口三联手术  治疗  青光眼  白内障  并发症
文章编号:1004-6461(2004)01-0048-03

Trabeculectomy combined cataract extraction from different incision
REN Yan-zhu,XU Hong-ying,MA Jian-xia,et al..Trabeculectomy combined cataract extraction from different incision[J].Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries,2004,26(1):48-50.
Authors:REN Yan-zhu  XU Hong-ying  MA Jian-xia  
Institution:REN Yan-zhu,XU Hong-ying,MA Jian-xia,et al.Kaifeng Eye Hospital,Kai feng 475000,China
Abstract:ObjectiveTo evaluate the effects of trabecule ct omy combined cataract extraction from different incisions for glaucoma patients with cataract.Methods56 cases(60 eyes) were included in the study.30 eyes rece ived small incision extracapsular cataract extraction(ECCE) and intraocular lens implantation through scleral tunnel and another incision was made for trabecule ctomy(double-incision group).The other 30 eyes received ECCE,intraocular lens i mplantation and trabeculectomy through one incision(control group).Results1 month after surgery,the vision in the double-infcision group was obviously better than that of control group(P<0 05).8 months af ter surgery,the rate of controlled IOP was similar in both groups but more anti -glaucomous medicine was needed in the control group.ConclusionFor patients of glaucoma with cataract,double incisi on is more effective than one incision.
Keywords:cataract  glaucoma  trabeculectomy  double incision
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