复合式手术治疗青光眼合并白内障的疗效观察(1)
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[摘要] 目的：分析本院眼科收治的青光眼合并白内障患者进行复合式手术治疗的临床资料，探讨复合式手术治疗青光眼合并白内障的临床效果。方法：选取本院2006年2月～2009年2月眼科收治的青光眼合并白内障患者进行复合式手术治疗，根据病情进行手术分组，一组行先青光眼再白内障的两阶段手术，另一组行白内障吸除术联合小梁切除术进行治疗。结果：两组患者术后与术前相比，视力均有显著性提高(P<0.05)，先青光眼再白内障的两阶段手术组与白内障吸除术联合小梁切除术组相比，术后0.6以上的眼数比例显著提高(P<0.05)，而0.2以上差异无统计学意义(P>0.05)。两组患者术后与术前相比，眼压均显著性降低(P<0.05)，先青光眼再白内障的两阶段手术组与白内障吸除术联合小梁切除术组相比，眼压下降程度差异无统计学意义(P>0.05)。结论：复合式手术对于青光眼合并白内障具有显著疗效，而针对病情选择治疗是手术方式选择的最好依据。
[关键词] 复合式术；青光眼合并白内障；疗效；治疗
[中图分类号] R775 [文献标识码] A [文章编号] 1674-4721(2012)01(a)-020-02
Curative effects of complex surgery in treatment of glaucoma combined cataracts
CHENG Shaojun
The Third People′s Hospital of Chenzhou City in Hunan Provice, Chenzhou 423000, China
[Abstract] Objective: To analyze the clinical data of glaucoma combined cataracts patients treated with complex surgery, and investigate the effect of complex surgery. Methods: Patients with glaucoma combined cataracts in our hospital from February 2006 to February 2009 were given complex surgery; according to the illness, one group was given glaucoma surgery and then cataract surgery, another group was given cataract suck operation and trabeculectomy treatment. Results: Two groups were compared with the preoperative, vision were improved significantly (P<0.05), the first two stages to cataract glaucoma treatment after cataract surgery with except trabeculectomy group operation than the number of eye above 0.6 percentage significantly increased (P<0.05), and 0.2 above did not had significant difference (P>0.05). Two groups were compared with the preoperative, significantly lower intraocular pressure (P<0.05), the first two stages to cataract glaucoma treatment after cataract surgery with except trabeculectomy group, intraocular pressure difference compared to decline was not statistically significant (P>0.05). Conclusion: Effect of complex surgery in treatment of glaucoma combined cataracts is good, and choose therapy operation according to the illness is the best treatment method.
[Key words] Complex surgery; Glaucoma with cataract; Curative effect; Treatment
收集本院2006年2月～2009年2月眼科收治的青光眼合并白内障进行复合式手术治疗患者的临床资料 ......
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