超声乳化白内障吸除联合房角分离治疗急性闭角型青光眼合并白内障的疗效

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1、分类号：R775.2学校代码：10392学科专业代码：105111学号：200803238福建医科大学硕士学位论文超声乳化白内障吸除联合房角分离治疗急性闭角型青光眼合并白内障的疗效Effectofphacoemulsificationandgoniosynechialysisinacuteangle-closureglaucomaandco-existingcataractpatients学位类型：临床医学硕士所在学院：协和临床医学院申请人：胡小坤学科、专业：眼科学导师：翁景宁教授庄鹏教授研究起止日期：2011年01月至2012年01月答辩日期：2012年06月0

2、5日二○一二年六月万方数据1万方数据目录英文缩略词表······················································2中文摘要··························································3英文摘要··························································4前言··························································5资料与方法············

3、············································6结果··························································10讨论··························································12结论··························································17参考文献··················································

4、········18致谢··························································22综述··························································232万方数据英文缩略词表PACG(primaryangle-closureglaucoma)原发性闭角型青光眼APACG(acuteprimaryangle-closureglaucoma)原发性急性闭角型青光眼IOP(intraocularpressure)眼压ACD(anteriorchamberd

5、epth)中央前房深度LCD(limbalchamberdepth)周边前房深度CT(cornealthickness)角膜厚度UBM(ultrasoundbiologicalmicroscope)超声生物显微镜IOL(intraocularlens)人工晶状体3万方数据超声乳化白内障吸除联合房角分离治疗急性闭角型青光眼合并白内障的疗效摘要目的：分析超声乳化白内障吸除联合人工晶状体植入和房角分离治疗原发性急性闭角型青光眼合并白内障的临床效果和安全性。对象与方法：回顾性分析研究2008年9月到2011年12月在我院住院且资料完整的原发性急性闭角型青光眼合并白内障患者

6、47例（54眼）；其中男性13例（15眼），女性34例（39眼）。年龄56～83岁，平均（68.2±6.9）岁。入院后在降眼压后行超声乳化白内障吸除联合人工晶状体植入和房角分离，分析术前术后视力、眼压、中央前房深度、周边前房深度、房角开放情况及并发症。随访时间为1～12个月，平均（7.23±3.56）个月。结果：54眼术后最佳矫正视力较术前明显提高，差异有统计学意义（Z=6.244，P＜0.05）；术前经降眼压治疗后平均眼压为(18.94±5.10)mmHg，术后为(11.81±3.22)mmHg，术后眼压明显下降，差异有统计学意义（t=11.896，P＜0.05

7、）；术前平均中央前房深度为（1.83±0.29）mm，术后为（3.53±0.43）mm，术后中央前房深度明显加深，差异有统计学意义（t=27.750，P＜0.05）；术后周边前房深度较术前明显加深，差异有统计学意义（Z=9.703，P＜0.05）；术后房角均较术前有不同程度的开放，差异有统计学意义（Z=9.187，P＜0.05）。结论：超声乳化白内障吸除联合人工晶状体植入和房角分离对原发性急性闭角型青光眼合并白内障患者的视力、眼压、前房深度、房角等方面都产生积极有益的影响，临床效果好且安全。关键词：超声乳化白内障吸除术，房角分离术，闭角型青光眼，白内障4万方数据E

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