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ID:1771163
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时间:2017-11-13
《医药学临床医学毕业论文 早期原发闭角型青光眼合并白内障的两种手术方式临床观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、湖南师范大学本科毕业论文考籍号:XXXXXXXXX姓名:XXX专业:医药学临床医学论文题目:早期原发闭角型青光眼合并白内障的两种手术方式临床观察指导老师:XXX二〇一一年十二月十日【摘要】目的分析单纯超声乳化和超声乳化联合虹膜周边切除对早期原发闭角型青光眼合并白内障的临床治疗效果。方法选择仅局部用药即可控制眼压在正常范围的早期闭角型青光眼合并白内障患者34例(38眼),随机分组,分别施以单纯超声乳化和超声乳化联合虹膜周边切除手术(各19眼)。结果两种术式都显著改善了视力(经χ2检验,P<0.01);视力改善与采用何种术式无关(经χ
2、2检验,P>0.05)。术前术后眼压差异无显著性,但术前17眼需药物协助控制眼压,术后观察期内无一例眼压升高需使用降眼压药物者。两种术式都显著改善了房角粘连(经χ2检验,P<0.01)。周边前房深度术前术后差异有非常显著性(经t检验,P<0.01);两种术式间差异无显著性(经t检验,P>0.05)。中央前房深度术前术后差异有非常显著性(经t检验,P<0.01),两种术式间差异无显著性(经t检验,P>0.05)。结论对于早期原发闭角型青光眼合并白内障患者采取单纯超声乳化和超声乳化联合虹膜周边切除手术治疗均可以控制眼压,改善视力,但单
3、纯超声乳化术术后并发症少,而且手术操作简单。【关键词】白内障;青光眼,闭角型;晶体超声乳化术;虹膜周边切除术Clinicalinvestigationoftwomethodsforcataractpatientswithangleclosureglaucoma【Abstract】ObjectiveToevaluatetheeffectofthephacoemulsificationsingleorcombinedwithtrabeculectomyforcataractpatientswithearlyangle-closureg
4、laucoma.Methods34patients(38eyes)withcataractandearlyangle-closureglaucomawerechosenanddividedintotwogroupsrandomlywhoseintraocularpressurecouldbecontrolledtonormalbyremedy.19eyeswereperformedwiththephacoemulsificationsingleorcombinedwithtrabeculectomyseparately.Resul
5、tsBothmethodsimprovedvisualsightsignificantly(byχ2’stest,P<0.01),buttheimprovementhadnoconnectionwiththemethods(byχ2’stest,P>0.05).Thepostoperativeintraocularpressures(IOP)ofbothmethodshadnodifferencewiththepreoperativeIOP,butthepreoperativeIOPof17eyesneedtobecontroll
6、edbyremedyandthepostoperativeIOPofalleyescametonormalwithoutusingmedicineduringourinvestigation.Bothmethodshaveimprovedperipheralanteriorsynechiae(PAS)significantly(byχ2’stest,P<0.01).Theperipheralandcentralanteriorchamberdepthswereimprovedsignificantly(byt’stest,P<0.
7、01),butbothmethodshadnodistinction(byt’stest,P>0.05).ConclusionAlthoughforcataractpatientswithangle-closureglaucoma,thephacoemulsificationsingleorcombinedwithtrabeculectomycanalsolowertheIOPandincreasethevisualacuities,butthephacoemulsificationsinglewassimplerandhadle
8、sscomplications.【Keywords】cataract;glaucoma,angle-closure;ultrasonicphacoemulsification;peripheraliridotomy随着超声乳化这一闭合白内障摘除技术
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