[关键词]
[摘要]
目的：探究超声乳化白内障吸除联合房角分离术或小梁切除术对原发性闭角型青光眼(PACG)合并白内障患者血流动力学的影响。
方法：随机数字表格法将巴中市中心医院2015-01/2017-06收治的94例94眼PACG合并白内障患者分为超声乳化白内障吸除联合房角分离术(观察组)与超声乳化白内障吸除联合小梁切除术(对照组)，每组47例，比较两组疗效指标。
结果：观察组术后1、3mo收缩期峰值流速(PSV)、舒张末期流速(EDV)均显著大于对照组，术后3mo阻力指数(RI)明显小于对照组以及前房深度、房角开放程度显著大于对照组(P<0.05)。
结论：房角分离或小梁切除联合超声乳化均能有效降低眼压，促进患者视力恢复，但房角分离术相对能更好地促进房角开放，改善血流动力学。
[Key word]
[Abstract]
AIM: To explore the effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with primary angle-closure glaucoma(PACG)and cataract.
METHODS: Totally 94 patients(94 eyes)with PACG and cataract who were admitted to Bazhong Central Hospital from January 2015 to June 2017 were divided into phacoemulsification and goniosynechialysis group(Observation group)and phacoemulsification with trabeculectomy group(Control group)by random number table method, 47 cases in each group. The indexes of curative effect were compared between the two groups.
RESULTS:The peak systolic velocity(PSV)and end diastolic velocity(EDV)of Observation group were larger than those of Control group at 1mo and 3mo after surgery. The resistance index(RI)of Observation group was significantly less than that of Control group at 3mo after surgery, while anterior chamber depth and open degree of angle were larger than those of group B(P<0.05).
CONCLUSION:Both goniosynechialysis or trabeculectomy combined with phacoemulsification can effectively reduce intraocular pressure, and promote visual recovery. But goniosynechialysis can better promote opening of angle, and improve hemodynamics.
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