摘要
目的探讨临床中超声乳化白内障吸除术与小梁切除术联合治疗青光眼合并白内障的临床疗效与安全性。方法采取回顾性方法对我院2011年1月至2011年12月间超声乳化白内障吸除术与小梁切除术联合治疗的60例青光眼合并白内障临床资料进行分析。结果手术前患者眼压为(28.9±4.5)mm Hg,手术后患者眼压为(12.5±2.3)mm Hg,手术后患者的眼压较治疗前有明显的降低,数据的比较差异有统计学意义(P<0.05);手术治疗后患者的视力较治疗前有明显的改善,数据的比较差异有统计学意义(P<0.05);手术前功能性滤过泡率为23.3%,手术后功能性滤过泡率为91.7%,手术治疗后功能性滤过泡率明显的高于手术治疗前(P<0.05),统计学有意义。结论临床中对于青光眼合并白内障患者采取超声乳化白内障吸除术与小梁切除术联合治疗是可行的,能够有效的恢复其视力,改善眼压,并且不良反应也比较少,治疗安全性高,值得临床中应用与推广。
Objective To investigate the clinical phacoemulsification cataract and glaucoma trabeculectomy combined with cataract clinical efficacy and safety. Methods A retrospective approach to our hospital from January 2011 to December 2011 phacoemulsification surgery in addition to 60 cases of glaucoma with trabeculectomy combined with cataract treatment clinical data was analyzed. Results The pre-operative IOP was （28.9±4.5） mm Hg, post- operative IOP was （12.5~2.3） mm Hg, compared with pre-treatment of the patient＇s lOP was significantly decreased after surgery, and the difference was statistically data significance （P〈0.05）; pre-treatment of patients with visual acuity improved significantly after surgery, and the difference was statistically significant data （P〈0.05）; bleb function before surgery was 23.3% after surgery functional bleb was 91.7% after surgical treatment of functional blebs was significantly higher than the pre-operative treatment （P〈0.05）, statistically meaningful. Conclusion For clinical glaucoma and cataract phacoemulsification in patients taking combination therapy in addition to surgery and trabeculectomy is feasible, can effectively restore their eyesight, and improve intraocular pressure, and fewer adverse reactions, treatment safety, worthy of clinical application and promotion.
出处
《中国医药指南》
2014年第23期27-28,共2页
Guide of China Medicine
