首页|房角粘连分离术联合激光虹膜周边切除术与白内障超声乳化术治疗急性闭角型青光眼合并白内障的效果

房角粘连分离术联合激光虹膜周边切除术与白内障超声乳化术治疗急性闭角型青光眼合并白内障的效果

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目的 探讨房角粘连分离术联合激光虹膜周边切除术与白内障超声乳化术治疗急性闭角型青光眼合并白内障的效果。方法 选取2020年5月至2022年5月收治的96例急性闭角型青光眼合并白内障患者为研究对象,以随机数字表法将其分为对照组与观察组,各48例。对照组实施激光虹膜周边切除术与白内障超声乳化术,观察组在对照组基础上实施房角粘连分离术。比较两组的手术效果。结果 观察组的手术总有效率高于对照组,差异具有统计学意义(P<0。05)。术前,两组的看电视、阅读书写、夜间视物及精细操作评分比较,差异无统计学意义(P>0。05);术后,观察组的看电视、阅读书写、夜间视物及精细操作评分高于对照组,差异具有统计学意义(P<0。05)。术前,两组的视盘整体血流密度、盘周整体血流密度比较,差异无统计学意义(P>0。05);术后,观察组的视盘整体血流密度、盘周整体血流密度大于对照组,差异具有统计学意义(P<0。05)。结论 房角粘连分离术联合激光虹膜周边切除术与白内障超声乳化术治疗急性闭角型青光眼合并白内障的效果满意,能够改善视觉质量,增加视盘及盘周整体血流密度,值得推广。
Effect of anterior angle adhesion separation combined with laser peripheral iridotomy and cataract ultrasonic emulsification in the treatment of acute angle-closure glaucoma with cataract
Objective To investigate the effect of anterior angle adhesion separation combined with laser peripheral iridotomy and cataract ultrasonic emulsification in the treatment of acute angle-closure glaucoma with cataract.Methods A total of 96 patients with acute angle-closure glaucoma with cataract admitted from May 2020 to May 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 48 cases in each group.The control group was treated with laser peripheral iridotomy and cataract ultrasonic emulsification,and the observation group was treated with anterior angle adhesion separation on the basis of the control group.The surgical effects of the two groups were compared.Results The total effective rate of operation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before operation,there were no significant differences in the scores of watching TV,reading and writing,night vision and fine operation between the two groups(P>0.05);after operation,the scores of watching TV,reading and writing,night vision and fine operation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before operation,there were no significant differences in the overall blood flow density of the optic disc and the overall blood flow density around the disc between the two groups(P>0.05);after operation,the overall blood flow density of the optic disc and the overall blood flow density around the disc in the observation group were larger than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Anterior angle adhesion separation combined with laser peripheral iridotomy and cataract ultrasonic emulsification in the treatment of acute angle-closure glaucoma with cataract has a satisfactory effect.It can improve the visual quality and increase the overall blood flow density around the optic disc and disc,which is worth promoting.

anterior angle adhesion separationlaser peripheral iridotomycataract ultrasonic emulsifica-tionacute angle-closure glaucomacataractvisual quality

李曼、廖周鹏、李文娟

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陕西省宝鸡市人民医院眼科三病区,陕西宝鸡,721000

陕西省宝鸡市人民医院眼科一病区,陕西宝鸡,721000

房角粘连分离术 激光虹膜周边切除术 白内障超声乳化术 急性闭角型青光眼 白内障 视觉质量

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)