Phaco或ECCE联合小梁切除术治疗白内障合并青光眼的对照研究

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目的分析Phaco或ECCE联合小梁切除术治疗白内障合并青光眼的对照研究。方法选取我院2015年4月~2016年12月收治的白内障合并青光眼患者80例作为研究对象。将80例患者按照手术方式分为两组,1组患者40例,采用Phaco联合小梁切除术治疗,2组患者40例,采用ECCE联合小梁切除手术。对比两组患者的临床治疗效果和并发症的发病率。结果两组患者治疗后,1组患者的眼压和散光度下降的水平明显优于2组患者,P<0.05表示统计学有意义。1组患者恢复视力的患者有28例,视力无变化的患者有12例,视力下降患者为0例。2组患者恢复视力有22例,视力无变化患者有11例,视力下降患者有7例。1组患者并发症发病率为10%,2组患者并发症发病率为35%,1组患者并发症发病率明显低于2组患者,P<0.05表示统计学有意义。结论Phaco联合小梁切除手术对比ECCE联合小梁切除手术治疗白内障合并青光眼患者,临床并发症发病率明显较低,有较高的临床治疗效果,值得在临床大力推广应用。 Objective To analyze the control study of Phaco or ECCE combined with trabeculectomy in the treatment of cataract combined with glaucoma. Methods 80 cases of cataract combined with glaucoma admitted from April 2015 to December 2016 in our hospital were selected as the research object. Eighty patients were divided into two groups according to the operation method. One group of 40 patients were treated with Phaco combined with trabeculectomy. Two groups of 40 patients were treated with ECCE combined with trabeculectomy. The clinical efficacy and complication rates were compared between the two groups. Results After treatment, the levels of IOP and astigmatism in one group were significantly lower than those in the two groups. P <0.05 was considered statistically significant. There were 28 patients with visual acuity recovery in group 1, 12 patients with no change in visual acuity, and 0 in patients with decreased visual acuity. There were 22 cases of visual acuity recovery in the two groups, 11 cases of no change in visual acuity and 7 cases of decreased visual acuity. The incidence of complications in group 1 was 10%, the incidence of complications in group 2 was 35%, the incidence of complications in group 1 was significantly lower than that in group 2, and P <0.05 was considered statistically significant. Conclusion Phaco combined trabeculectomy ECCE combined with trabeculectomy in the treatment of cataract patients with glaucoma, the incidence of clinical complications was significantly lower, with higher clinical efficacy, it is worth to clinically promote.
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