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超声乳化术治疗葡萄膜炎继发性青光眼伴发白内障的效果观察
作者:李方珂 
单位:烟台市北海医院眼科 山东 烟台 265701 
关键词:葡萄膜炎 继发性青光眼 白内障 超声乳化术 
分类号:R 776
出版年,卷(期):页码:2023,40(5):503-503
摘要:

 摘要:目的 针对葡萄膜炎继发性青光眼伴发白内障患者接受超声乳化术治疗的临床效果展开分析与探讨。方法 选择我院2019年3月—2022年2月收治的80例葡萄膜炎继发性青光眼伴发白内障患者作为研究对象,按照随机抽签的原则将其分为对照组与研究组,每组各40例。对照组选用传统白内障摘除术治疗,研究组选用超声乳化术治疗,分析并比较两组的治疗效果。结果 研究组治疗后平均眼压低于对照组,平均视力、生活质量各评分均高于对照组,两组比较差异均有统计学意义(t=11.469、4.881、3.845、3.676、4.172、4.297,均P<0.05);研究组治疗总满意度高于对照组,并发症发生率低于对照组,两组比较差异均有统计学意义(χ2=6.135、5.165,均P<0.05)。结论 采用超声乳化术对葡萄膜炎继发性青光眼伴发白内障开展临床诊治,可显著提高患者的视力水平及生活质量、降低眼压及并发症,患者满意度高,值得使用。

 Abstract:Objective  To analyze and discuss the clinical effect of phacoemulsification in patients with glaucoma secondaryuveitis and cataract. Methods A total of 80 patients with uveitis secondary glaucoma with cataract admitted to our hospital from March 2019 to February 2022 were selected as the study subjects, and divided into the control group and the study group according to the principle of random drawing, with 40 cases in each group. The control group was treated with conventional cataract extraction and the study group was treated with ultrasound emulsification, and the treatment effects of the two groups were analyzed and compared.  Results The average intraocular pressure in the study group was lower than that in the control group, and the mean visual acuity and quality of life scores were higher than those in the control group after treatment. The differences were all statistically significant (t=11.469, 4.881, 3.845, 3.676, 4.172, 4.297, all P<0.05); the total satisfaction of treatment in the study group was higher than that in the control group, and the incidence of complications was lower than that in the control group, and the differences between the two groups were all statistically significant (χ2=6.135, 5.165, both P<0.05).  Conclusion The use of phacoemulsification in the clinical diagnosis and treatment of uveitis secondaryglaucoma with cataract can significantly improve visual acuity and quality of life, reduce intraocular pressure and complications, and is worth using for high patients satisfaction.

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参考文献:

 参考文献

[1] 李忠凯.超声乳化白内障吸除、人工晶状体植入联合小梁切除术治疗白内障合并青光眼的疗效观察[J].中国实用医药,2019,14(6):6-8.
[2] 张立清,陈晓红,贾新兴.微创光凝术联合超声乳化人工晶状体植入术治疗青光眼合并白内障的疗效观察[J].国际医药卫生导报,2021,27(7):966-971.
[3] 张虹,吴子东.白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障的疗效观察[J].中华全科医学,2020,18(12):2010-2012,2028. 
[4] 胡子炎.超声乳化人工晶状体植入治疗青光眼合并白内障的疗效观察[J].中国冶金工业医学杂志,2021,38(3):329-330.
[5] 张品.白内障超声乳化吸除、人工晶状体植入联合房角分离术治疗急性闭角型青光眼合并白内障的临床疗效评价[J].糖尿病天地,2021,18(1):177.
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