[摘要] 目的 探討雙切口白內(nèi)障超聲乳化術(shù)與單切口分別聯(lián)合小梁切除術(shù)治療青光眼合并白內(nèi)障的臨床效果，并分析其安全性。 方法 將86例白內(nèi)障合并青光眼患者作為本次研究對象，按照手術(shù)切口的不同將其分為研究組和對照組，對照組患者應(yīng)用單切口白內(nèi)障超聲乳化手術(shù)聯(lián)合小梁切除術(shù)治療，研究組患者采取雙切口白內(nèi)障超聲乳化聯(lián)合小梁切除術(shù)治療，對比分析兩組治療前后的視力情況與眼壓情況及并發(fā)癥發(fā)生率。 結(jié)果 研究組治療后的眼內(nèi)壓（12.85±3.41）顯著低于對照組（17.64±3.51），研究組治療后的裸眼視力（0.67±0.04）明顯高于對照組（0.52±0.09），研究組治療后的最佳矯正視力（0.73±0.04）顯著高于對照組（0.54±0.02），研究組并發(fā)癥發(fā)生率（13.95%）低于對照組（20.93%），組間差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 與單切口超聲乳化術(shù)比較，雙切口超聲乳化聯(lián)合小梁切除術(shù)的臨床效果顯著，能夠有效矯正患者的裸眼視力，且安全性較高，并發(fā)癥少，值得臨床進(jìn)一步應(yīng)用探索。
　　[關(guān)鍵詞] 切口；白內(nèi)障；超聲乳化術(shù)；小梁切除術(shù)；青光眼
　　[中圖分類號] R776.1 [文獻(xiàn)標(biāo)識碼] B [文章編號] 1673-9701（2018）08-0070-03
　　Clinical effectiveness of different incisions of cataract phacoemulsification combined with trabeculectomy in patients with coexisting glaucoma and cataract
　　YU Bo
　　Department of Ophthalmology，Tengnan Hospital of Zaozhuang Mining Group，Zaozhuang 277606，China
　　[Abstract] Objective To investigate the clinical effect of double incision cataract phacoemulsification and single incision combined with trabeculectomy in the treatment of glaucoma combined with cataract， and to analyze its safety.Methods 86 patients with coexisting glaucoma and cataract were selected as study objects and divided into study group and control group according to different operation incisions. Patients in control group were treated with single incision of cataract phacoemulsification combined with trabeculectomy. Patients in study group were treated with two incisions of cataract phacoemulsification combined with trabeculectomy. Visual acuity， intraocular pressure and the incidence of complications in two groups before and after treatments were compared and analyzed. Results Intraocular pressure after treatment in study group（12.85±3.41） was significantly lower than that in control group（17.64±3.51）. Visual acuity of naked eye after treatment in study group （0.67±0.04） was significantly higher than that in control group（0.52±0.09）. The best corrected visual acuity after treatment in study group（0.73±0.04）was significantly higher than that in control group（0.54±0.02）. The incidence in study group（13.95%） was significantly lower than that in control group（20.93%）. All the differences between two groups were statistiically significant（P<0.05）. Conclusion Compared with single incision of cataract phacoemulsification， double incision phacoemulsification combined trabeculectomy in clinical effect is remarkable， can effectively correct the patient"s naked eye eyesight， and security is higher， fewer complications， worthy of clinical application of further exploration.

相關(guān)熱詞搜索：白內(nèi)障 小梁 青光眼 切口 乳化