目的：探讨白内障摘除联合人工晶体植入的手术方式治疗闭角型青光眼合并白内障的疗效。方法将收治的白内障合并闭角型青光眼的患者108例（126眼）随机分成对照组和观察组，对照组选择白内障摘除联合人工晶体植入术联合小梁切除术进行治疗，观察组选择白内障摘除联合人工晶体植入术进行治疗，对两组的治疗效果数据进行分析。结果治疗后，观察组患者视力的提高明显高于对照组，差异有统计学意义（P＜0．05）。观察组的眼压由（25．29±5．33）mm Hg降至（14．23±4．11）mm Hg ，对照组的眼压由（25．74±5．12）mm Hg降至（14．36±4．02）mmHg ，两组眼压均有明显降低。观察组术后并发症的发生率（12．5％）明显低于对照组（37．1％）。结论白内障摘除联合人工晶体植入治疗闭角型青光眼合并白内障，能够有效提高患者的治疗效果及生活质量，可作为临床较为理想的治疗白内障合并青光眼的方案之一。%Objective To investigate the effect of cataract extraction combined with intraocular lens implanta‐tion for treating cataract complicating angle‐closure glaucoma .Methods 108 cases (126 eyes) of cataract complica‐ting angle‐closure glaucoma were allocated into the control group and the observation group .The control group was treated with cataract extraction combined with intraocular lens implantation and trabeculectomy ,while the observa‐tion group was treated with cataract extraction combined with intraocular lens implantation .The treatment effects were analyzed and compared between the two groups .Results The vision improvement after treatment in the obser‐vation group was obviously higher than that in the control group ,and the difference was statistically significant .The intraocular pressuregop(IOP) in the obserration group was decreased from (25 .29 ± 5 .33)mm Hg to (14 .23 ± 4 .11) mm Hg .IOP in the control group was decreased from (25 .74 ± 5 .12)mm Hg to (14 .36 ± 4 .02)mm Hg ,IOP of the two groups all were decreased obviously .The incidence rate of postoperative complications in the observation group was 12 .5% ,which was significantly lower than 37 .1% in the control group .Conclusion Cataract extraction com‐bined with intraocular lens implantation in treating cataract complicating angle‐closure glaucoma can effectively im‐prove the therapeutic effect and life quality and can be used as one of ideal clinical schemes for treating cataract com‐plicating glaucoma .
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