白内障合并青光眼不同联合手术方式的疗效比较

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1、海南医学院学报2012，18(12)JournalofHainanMedicalUniversity1811网络出版地址：http：／／www．enki．net／kcms／detail／46．1049．R．20121018．1123．010．html白内障合并青光眼不同联合手术方式的疗效比较阳光(四川省成都市第二人民医院眼科，四川成都610000)[摘要]目的：探讨白内障合并青光眼不同联合手术方法及其疗效。方法：将159例白内障合并青光眼患者，随机分为A、B、C三组，每组各53例，其中A组实施白内障囊外摘除+人工晶状体植入术联合小梁切除术，B组实施超声乳化白内障吸除+人工晶状

2、体植入联合小梁切除术，C组实施白内障超声乳化联合人工晶状体植入术，观察术后疗效。结果：三组手术经过均顺利，视力和眼压在手术前后具有显著性差异(P<0．05)；C组术后视力恢复程度优于三联术患者，但3组间差异无统计学意义(P>0．05)；A组角膜散光明显高与其他两组(P<0．05)；比较三组并发症情况，C组与A、B组前房出血存在明显差异(P

3、编号]1007—1237(2012)12—1811—03Efectsofdiferentcombinedsurgeriesinthetreatmentofcataractcomplicatedwithglauco—maYANGGuang(DepartmentofOphthalmology，2ndPeoplesHospitalofChengdu，Chengdu610000，China)[FoundationProje~t]：7hisWorkisFinanciallyS~pportedbySpecialFoundationforClimcalStudiesfromCommitte

4、eofAdedicalJournalofOnineseUni~rsities(112210459)．[Author]：YANGGuang(1968一)，Male，ChengduSichuan，AssociateChiefPhysician，M．B．，Tel：13882028816，E-mail：ygem@sina．com．Received：2012-09—20Revised：2012—10—15JHMC，2012；18(12)：1811—1813Viewfromspecialist：Itiscreative'andofcertainscientificandeducation

5、alvalue．[ABSTRACT-]Objective：Toobservetheeffectsofdifferentcombinedsurgeriesinthetreatmentofcataractcomplicatedwithglaucoma．Methods：Atotalof159eyeswithglaucomaandcoexistingcataractswereselectedandrandomlyassignedintogroupA，groupB，andgroupC，with53eyesineachgroup．Pa—tientsingroupAhadextracaps

6、ularcataractextractionandintraocularlensimplantationcombinedwithtrabeculectomy；patientsingroupBhadcataractphacoemulsificationandintraocularlensimplantationcombinedwithtrabeculectomy；patientsingroupCunderwentcataractsurgerybyphacoemulsificationtechniquesandintraocularlensimplantation．Theeffe

7、ctsofsurgerieswereobserved．Results：Theeffectsofthreesurgeriesweresimilartoeachother(P>0．05)，andthevisionandintraocularpressurewereim—provedsignificantlyaftersurgeries(P<0．05)．TheimprovementinvisionofgroupCwasbetterthantheothertwogroups．butthedifferencewa