老年医学与保健2025，Vol.31Issue(4)：1160-1164,5.
超声乳化白内障吸除分别联合小梁切除术与房角分离术治疗白内障合并闭角型青光眼的疗效比较
Comparison of efficacy of phacoemulsification combined with trabeculectomy or goniosynechialysis on cataract with angle clo-sure glaucoma
摘要
Abstract
Objective To investigate the effects of phacoemulsification(Phaco)combined with either trabeculectomy(TM)or goniosynechialysis(GSL)in the treatment of cataract complicated with angle-closure glaucoma(ACG).Methods A retrospective analysis was conducted on the clinical data of 98 patients with cataract and ACG admitted to Third People's Hospi-tal of Chengdu City from October 2020 to October 2023.According to the treatment methods,they were divided into GSL group and TM group,with 49 cases in each group.Both groups received basic treatment of Phaco.The GSL group received basic treatment combined with goniosynechialysis,while the TM group received basic treatment combined with TM.The differ-ences in the therapeutic effects,surgery-related index values,corneal changes and the incidence of complications were com-pared between the two groups.Results After 1 month of treatment,the clinical efficacy in the GSL group was significantly higher than that in the TM group.The absolute values of the differences in visual acuity,intraocular pressure and anterior cham-ber depth before and after treatment in the GSL group were all higher than those in the TM group,while the absolute values of the differences in the corneal endothelial cell count and average area of corneal endothelial cells before and after treatment were both lower than those in the TM group.The differences were all statistically significant(P＜0.05).There was no statistical difference in the difference of central corneal thickness before and after treatment between the two groups(P＞0.05).The incidence rates of complications in the GSL group were significantly lower than those in the TM group(P＜0.05).Conclusion GSL may be a recommended surgical method for patients with cataract complicated with ACG.Compared with Phaco-TM,Phaco-GSL can significantly reduce the risk of complications,has better improvement effects on visual acuity and intraocular pressure,and less impact on the cornea.It has certain clinical application value.关键词
老年/白内障/闭角型青光眼/超声乳化白内障吸除/小梁切除术/房角分离术Key words
elderly/cataract/angle closure glaucoma/phacoemulsification/trabeculectomy/goniosynechialysis引用本文复制引用
程靖倩,郭娟,田雪莲,覃冬..超声乳化白内障吸除分别联合小梁切除术与房角分离术治疗白内障合并闭角型青光眼的疗效比较[J].老年医学与保健,2025,31(4):1160-1164,5.基金项目
成都市医学科研课题(2022014) （2022014）
