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探讨白内障超声乳化联合房角分离手术治疗闭角型青光眼合并白内障的临床效果摘要:目的:研究分析白内障超声乳化联合房角分离手术治疗闭角型青光眼合并白内障的临床疗效观察。方法:此次研究的对象是选择2011年3月至2013年3月期间我院收治的45例(64眼)闭角型青光眼合并白内障的患者,将其临床资料进行回顾性分析,并将所有病例均接受超声乳化联合房角分离手术治疗,观察患者术后眼压和视力恢复情况,中央前房深度以及滤过泡等。结果:①手术治疗后1d、1周、1月、6月时测得的眼压水平均明显低于手术治疗前,且差异具有统计学意义(P<0.05);②手术治疗后1d、1周、1月、6月时测得的视力水平均明显高于手术治疗前,且差异具有统计学意义(P<0.05);③随访末期中央前房深度(3.22±0.35)mm明显高于术前前房深度,差异具有统计学意义(P<0.05)。结论:对于闭角型青光眼合并白内障患者来说,白内障超声乳化联合房角分离术能更好的控制眼压,促进视力恢复,增加中央前房深度,而且并发症极少,临床值得推广使用。关键词:超声乳化术;房角分离术;闭角型青光眼;白内障[Abstract]Objective:Tostudytheclinicaleffectofphacoemulsificationcombinedwithcataractextractioninthetreatmentofangleclosureglaucomawithcataract.Methods:theobjectofthestudyisselection2011treatedinourhospitalduringMarchtoMarch2013in45cases(64eyes)ofangleclosureglaucomawithcataractpatients,theirclinicaldatawereretrospectiveanalysisandallpatientsunderwentphacoemulsificationcombinedwithrealangularseparationofsurgicaltreatment,observationofpostoperativeintraocularpressureandvisualacuityrecovery,centralanteriorchamberdepthandfilteringbleb.Results:operativetreatmentafter1D,1week,1month,6monthsmeasuredtheIOPlevelweresignificantlylowerthanthatbeforesurgery,andthedifferencehasstatisticalsignificance(P<0.05);(2)aftersurgicaltreatmentof1D,1week,1month,6monthsmeasuredacuityweresignificantlyhigherthanthosebeforesurgicaltreatment,andthedifferencewasstatisticallysignificant(P<0.05);(3)attheendoffollow-upcentralanteriorchamberdepth(3.22+0.35)mmwassignificantlyhigherthanthepreoperativeanteriorchamberdepth,thedifferenceisstatisticallysignificant(P<0.05).Conclusion:forprimaryangleclosureglaucomawithcataractpatients,phacoemulsificationcombinedwithrealangleseparationsurgerycanbettercontroltheintraocularpressure,promotetherecoveryofvisualacuity,centralanteriorchamberdepthincreased,andfewcomplications.Itisworthyclinicalapplication.[Keywords]phacoemulsification;cataractextraction;angleclosureglaucoma;cataract闭角型青光眼在临床上比较常见,传统的治疗闭角型青光眼合并白内障的手术方法就是虹膜周边滤过术或者切除术,但术后眼压控制往往不佳、滤过泡瘢痕化、白内障形成等并发症影响手术疗效[1]。超声乳化联合房角分离手术则是一种新型重建手术,我院对45例闭