不同切口白内障超声乳化联合小梁切除术治疗青光眼合并白内障的临床效果分析

　　[摘要] 目的 探讨双切口白内障超声乳化术与单切口分别联合小梁切除术治疗青光眼合并白内障的临床效果，并分析其安全性。 方法 将86例白内障合并青光眼患者作为本次研究对象，按照手术切口的不同将其分为研究组和对照组，对照组患者应用单切口白内障超声乳化手术联合小梁切除术治疗，研究组患者采取双切口白内障超声乳化联合小梁切除術治疗，对比分析两组治疗前后的视力情况与眼压情况及并发症发生率。 结果 研究组治疗后的眼内压（12.85±3.41）显著低于对照组（17.64±3.51），研究组治疗后的裸眼视力（0.67±0.04）明显高于对照组（0.52±0.09），研究组治疗后的最佳矫正视力（0.73±0.04）显著高于对照组（0.54±0.02），研究组并发症发生率（13.95%）低于对照组（20.93%），组间差异均有统计学意义（P<0.05）。结论 与单切口超声乳化术比较，双切口超声乳化联合小梁切除术的临床效果显著，能够有效矫正患者的裸眼视力，且安全性较高，并发症少，值得临床进一步应用探索。
　　[关键词] 切口；白内障；超声乳化术；小梁切除术；青光眼
　　[中图分类号] R776.1 [文献标识码] B [文章编号] 1673-9701（2018）08-0070-03
　　Clinical effectiveness of different incisions of cataract phacoemulsification combined with trabeculectomy in patients with coexisting glaucoma and cataract
　　YU Bo
　　Department of Ophthalmology，Tengnan Hospital of Zaozhuang Mining Group，Zaozhuang 277606，China
　　[Abstract] Objective To investigate the clinical effect of double incision cataract phacoemulsification and single incision combined with trabeculectomy in the treatment of glaucoma combined with cataract， and to analyze its safety.Methods 86 patients with coexisting glaucoma and cataract were selected as study objects and divided into study group and control group according to different operation incisions. Patients in control group were treated with single incision of cataract phacoemulsification combined with trabeculectomy. Patients in study group were treated with two incisions of cataract phacoemulsification combined with trabeculectomy. Visual acuity， intraocular pressure and the incidence of complications in two groups before and after treatments were compared and analyzed. Results Intraocular pressure after treatment in study group（12.85±3.41） was significantly lower than that in control group（17.64±3.51）. Visual acuity of naked eye after treatment in study group （0.67±0.04） was significantly higher than that in control group（0.52±0.09）. The best corrected visual acuity after treatment in study group（0.73±0.04）was significantly higher than that in control group（0.54±0.02）. The incidence in study group（13.95%） was significantly lower than that in control group（20.93%）. All the differences between two groups were statistiically significant（P<0.05）. Conclusion Compared with single incision of cataract phacoemulsification， double incision phacoemulsification combined trabeculectomy in clinical effect is remarkable， can effectively correct the patient"s naked eye eyesight， and security is higher， fewer complications， worthy of clinical application of further exploration.