不同手术方式治疗急性闭角型青光眼合并年龄相关性白内障的疗效分析

Analysis of the Effect of Different Surgical Methods in the Treatment of Acute Angle Closure Glaucomawith Age-Related Cataract

摘要: 目的：比较两种不同手术方式治疗急性闭角型青光眼合并年龄相关性白内障的临床治疗效果。方法：观察60例(60眼)初次发作的单眼原发性急性闭角型青光眼合并年龄相关性白内障患者，随机分为A组行白内障超声乳化 + 人工晶体植入 + 房角分离术，B组行小梁切除术，观察两组患者平均住院天数、术后并发症情况和疗效情况。结果：A组平均住院天数为3.13天，远低于B组的5.67天，而且总有效率97%也高于B组的83%，并且并发症发生率6.7%也低于B组的23.3%，差异均具有统计学意义P < 0.05。结论：前房穿刺术联合白内障超声乳化 + 人工晶体植入 + 房角分离术在治疗闭角型青光眼合并年龄相关性白内障方面具有良好疗效。

Abstract: Objective: To compare the clinical effects of two different surgical methods in the treatment of acute angle closure glaucoma with age-related cataract. Methods: 60 cases (60 eyes) of primary acute an-gle closure glaucoma with age-related cataract were randomly divided into two groups: group A with phacoemulsification + IOL implantation + angle separation, group B with trabeculectomy. The average total length of stay, postoperative complications and curative effect were observed. Results: The average length of stay in group A was 3.13 days, much lower than 5.67 days in group B, and the total effective rate was 97% higher than 83% in group B, and the incidence of complications was 6.7% lower than 23.3% in group B, the difference was statistically significant (P < 0.05). Conclusion: Ante-rior chamber puncture combined with phacoemulsification, intraocular lens implantation and angle separation is effective in the treatment of angle closure glaucoma with age-related cataract.