三种手术方式治疗青光眼并白内障临床疗效比较

目的：比较三种手术方式治疗青光眼并白内障的适应证和临床疗效。方法90例青光眼并白内障患者按数字表法随机分为A、B、C三组，A组患者行单纯白内障超声乳化加人工晶状体植入术治疗，B组患者行白内障超声乳化加人工晶状体植入联合虹膜根切术治疗，C组患者行白内障超声乳化加人工晶状体植入联合小梁咬切除术治疗，比较三组患者临床疗效。结果三组患者手术治疗前裸眼视力对比差异无统计学意义（P＞0．05），经过手术治疗，所有患者的裸眼视力均有所改善，且三组患者的术后视力对比差异无统计学意义（P＞0．05）。三组患者术前、手术后1周、手术后6个月眼压差异均无统计学意义（均P＞0．05）；同组患者手术前后不同时点眼压差异均有统计学意义（均P＜0．05）。三组术后患者的虹膜根部较为平坦，房角有所增宽，且存留周边虹膜处黏膜面积有所缩小，可见范围变大；未发生严重并发症。结论青光眼并白内障患者接受三种手术方式治疗，均能够显著改善患者的视力情况，因而具有较高的临床应用价值。

Comparison of three kinds of operation for glaucoma and cataract clinical curative effect

Objective To compare three kinds of operation method in the treatment of glaucoma with cata-ract indications and clinical efficacy .Methods 90 patients with glaucoma combined with cataract were randomly divided into A,B,C three groups,patients in group A underwent phacoemulsification and IOL implantation therapy , patients in group B underwent phacoemulsification and IOL implantation combined with peripheral iridectomy treat -ment,patients in group C underwent phacoemulsification and IOL implantation and trabecular bite resection ,compared three groups of patients with clinical curative effect The .Results of three groups of patients before treatment and operation visual acuity compared to no significant difference （P＆gt;0.05）,the treatment after operation,all patients vis-ual acuity was improved ,no significant difference in visual contrast and three group of patients after operation （ P＆gt;0.05）.Three groups of patients before operation ,1 week after operation,6 months after the IOP had no statistically significant difference （ P＆gt;0.05）;the same group of patients before and after operation in different time points .The intraocular pressure had significant differences （P〈0.05）.Three groups of patients with postoperative iris root is rela-tively flat,wide angle increases,and the remaining peripheral iris mucosal area has been narrowed ,visible range be-come larger;no serious complication occurred .Conclusion Glaucoma patients with cataract treated with three kinds of operation mode ,can significantly improve the visual acuity of patients ,so it has high value in clinical application .