医学临床研究
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医学临床研究  2019, Vol. 36 Issue (3): 474-476    DOI: 10.3969/j.issn.1671-7171.2019.03.020
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晶体植入联合前段玻璃体切除术对恶性青光眼患者的临床疗效及其预后影响因素分析
崔淑婷, 刘成生, 刘宏
沂源县人民医院眼科,山东 淄博 256100
Clinical Efficacy and Prognostic Factors of Lens Implantation Combined with Anterior Vitrectomy for Malignant Glaucoma
CUI Shu-ting, LIU Cheng-sheng, LIU Hong
Department of Ophthalmology, Yiyuan People's Hospital, Zibo Shandong 256100, China
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摘要 【目的】探讨白内障超声乳化人工晶体植入联合前段玻璃体切除术治疗恶性青光眼的临床疗效及其预后影响因素。【方法】选取2013年4月至2017年4月于本院进行治疗的恶性青光眼患者88例(96眼),均行前段玻璃体切除术联合白内障超声乳化人工晶体植入术;将术后眼压正常且前房形成患者视为良好组,前房形成欠佳患者视为无效组;比较手术前后患者视力、眼压改变情况,对影响患者术后治疗效果的危险因素进行Logistic分析。【结果】术后,88例(96眼)患者中有61例(66眼)视力提升两行及以上;20例(22眼)视力高于0.3;41例(44眼)视力0.1~0.3,27例(30眼)患者术后视力无显著改变;没有视力降低者。术后42例(46眼)患者眼压控制,34例(37眼)患者部分控制,12例(13眼)控制无效,眼压控制有效率是86.46%。良好组与无效组患者术前眼轴长度和巩膜突的间距比较,差异有统计学意义(P<0.05)。术前眼轴长度和年龄是影响患者术后治疗效果的独立危险因素(P<0.05)。【结论】患者年龄和患眼眼轴长度对恶性青光眼患者手术治疗效果有影响,临床应予以关注。
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崔淑婷
刘成生
刘宏
Abstract:【Objective】To analyze the influencing factors of clinical efficacy of phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in patients with malignant glaucoma. 【Methods】From April 2013 to April 2017, 88 patients (96 eyes) with malignant glaucoma underwent anterior vitrectomy combined with phacoemulsification and intraocular lens implantation. The patients with normal intraocular pressure and anterior chamber formation were regarded as good group, while those with poor anterior chamber formation were regarded as ineffective group. The changes of visual acuity and intraocular pressure before and after operation were compared, and the risk factors affecting the therapeutic effect were analyzed by Logistic.【Results】After operation, 61 of 88 patients (96 eyes) had visual acuity improvement of two lines or more; 20 patients (22 eyes) had visual acuity higher than 0.3; 41 patients (44 eyes) had visual acuity of 0.1~0.3; 27 patients (30 eyes) had no significant change; and no visual acuity decreased. After operation, 42 patients (46 eyes) had intraocular pressure control, 34 patients (37 eyes) had partial control, and 12 patients (13 eyes) had no effect. The effective rate of intraocular pressure control was 86.46%. There was significant difference between the good group and the ineffective group in the length of eye axis and the distance between scleral processes before operation (P<0.05). Axis length and age before surgery were independent risk factors affecting the outcome of surgery (P<0.05).【Conclusion】The age of the patients and the length of the ocular axis affect the surgical treatment of malignant glaucoma, which should be paid attention to clinically.
收稿日期: 2018-05-10     
PACS:  R775  
引用本文:   
崔淑婷, 刘成生, 刘宏. 晶体植入联合前段玻璃体切除术对恶性青光眼患者的临床疗效及其预后影响因素分析[J]. 医学临床研究, 2019, 36(3): 474-476.
CUI Shu-ting, LIU Cheng-sheng, LIU Hong. Clinical Efficacy and Prognostic Factors of Lens Implantation Combined with Anterior Vitrectomy for Malignant Glaucoma. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 474-476.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.03.020     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I3/474
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