小切口白内障摘除及人工晶状体植入联合青光眼小梁切除术治疗白内障合并青光眼的临床疗效观察

目的探讨小切口白内障摘除及人工晶状体植入联合小梁切除术治疗白内障合并青光眼的临床疗效。方法随机选取武警辽宁总队大连医院2010年4月至2012年2月收治的白内障合并青光眼患者152例,随机分为两组:其中76例共85眼采用小切口白内障摘除及人工晶状体植入联合青光眼小梁切除术治疗(观察组),另外76例共86眼采用常规手术治疗(对照组),总结分析两组患者的恢复情况。结果观察组患者术后1、4、12周时视力良好率分别为91.8%、85.9%、75.3%,优于对照组患者术后同期视力良好率,分别为76.7%、66.3%、54.7%,差异有统计学意义(均P<0.05);且观察组并发症发生率均低于对照组,差异有统计学意义(均P<0.05)。结论小切口白内障摘除及人工晶状体植入联合青光眼小梁切除术治疗白内障合并青光眼的治疗效果显著优于常规治疗方案,值得临床借鉴推广。

The Observation on the Clinical Effects of Cataract Extraction with Small Incision and Intraocular Lens Implantation Combined with Trabeculectomy for the Treatment of Cataract and Glaucoma

Objective To discuss the clinical effects of cataract extraction with small incision and intraocular lens implantation combined with trabeculectomy for the treatment of cataract and glaucoma.Methods From April 2010 to February 2012,152 patients with cataract and glaucoma were selected as objects in Dalian Armed Police Corps Hospital of Liaoning.76 cases(85 eyes,observation group) were given cataract extraction with small incision and intraocular lens implantation combined with trabeculectomy,76 cases(86 eyes,control group) were given conventional surgery.The recovery condition of the two groups were summarized and analyzed.Results In observation group,the patients with good eyesight rates of 1,4 and 12 weeks after surgery were 91.8%,85.9%,75.3%,which were better than that of the control group' s 76.7%,66.3%,54.7% with statistically significant difference(all P < 0.05);the incidence of complication of the observation group was lower than the control group with statistically significant difference(P < 0.05).Conclusion Cataract extraction with small incision and intraocular lens implantation combined with trabeculectomy for the treatment of cataract and glaucoma is better than the conventional surgery,which is worth learning and promoting.