于治玲

【摘要】 目的：对采用白内障超声乳化技术治疗闭角型青光眼的临床效果进行分析，并对其安全性进行探讨。方法：选取2011年7月-2013年1月本院眼科收治的136例闭角型青光眼患者，按照随机数字表法将其分为对照组和观察组各68例，其中对照组采用小梁切除术进行治疗，观察组采用白内障超声乳化术进行治疗，观察比较两组患者手术前与手术后6个月患者的视力、前房深度与眼压的情况，并观察患者手术后的并发症情况。结果：术后经过6个月的随访，两组手术后的视力、眼压、前方深度均明显优于手术前，且观察组术后的视力、前房深度均明显高于对照组，眼压明显低于对照组，差异均有统计学意义（P<0.05）。观察组患者在手术后没有出现大出血、虹膜损伤、继发恶性青光眼及角膜失代偿等并发症，明显优于对照组。结论：采用白内障超声乳化术治疗闭角型青光眼具有临床效果好、术后并发症少的优点，值得临床推广应用。

【关键词】 闭角型青光眼； 白内障超声乳化术； 小梁切除术； 临床观察

The Clinical Effect Observation of Angle Closure Glaucoma with Cataract Phacoemulsification/YU Zhi-ling.//Medical Innovation of China，2014，11（16）：016-018

【Abstract】 Objective：To analyze the clinical effect of phacoemulsification technique for the treatment of angle closure glaucoma，and investigate its security.Method：136 patients angle closure glaucoma in our ophthalmology from July 2011 to January 2013 were selected，they were randomly divided into the control group and the observation group according to the random number table method，68 cases in each group.The control group was given trabeculectomy for treatment，and the observation group was given phacoemulsification for treatment，the visual acuity，intraocular pressure and anterior chamber depth between the two groups before operation and 6 months after operation were observed and compared，and observed the complications after operation.Result：after 6 months of follow-up，the visual acuity，intraocular pressure and anterior chamber depth after operation of the two groups were were significantly better than those before operation，and the visual acuity and anterior chamber depth after operation of the observation group were significantly higher than the control group，the intraocular pressure was significantly lower than the control group，the differences were statistically significant（P<0.05）.And there were no bleeding，iris injury，malignant glaucoma and corneal decompensation occurred in the observation group，was better than the control group.Conclusion：The phacoemulsification treating angle closure glaucoma have the advantages of good clinical effect，fewer complications，is worthy of clinical application.

【Key words】 Angle closure glaucoma； Cataract phacoemulsification； Trabeculectomy； Clinical observation

First-authors address：The People's Hospital of Zhaoyuan City，Zhaoyuan 265400，China

doi：10.3969/j.issn.1674-4985.2014.16.005

青光眼是我国致盲的第二位眼病，原发性闭角型青光眼约占我国原发性青光眼的60%以上，晶状体膨胀的因素引起瞳孔阻滞、房角关闭，可引起眼压升高，从而导致患者的视神经受到损害，如不及时治疗将会给予患者带来失明的危险[1-2]。白内障超声乳化术是近年来随着显微手术发展且较成熟的一种技术，由于其对眼内组织损伤小，反应轻，恢复快，已较多应用治疗闭角型青光眼[3]。为了了解该种手术给患者带来的治疗效果与安全性，本文选取2011年7月-2013年1月本院眼科收治的68例闭角型青光眼患者，对其采用白内障超声乳化术进行治疗，取得了满意的疗效，现报告如下。

1 资料与方法