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首页> 外文OA文献 >Phacoemulsification Alone versus Phacoemulsification Combined with Trabeculectomy for Primary Angle-Closure Glaucoma
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Phacoemulsification Alone versus Phacoemulsification Combined with Trabeculectomy for Primary Angle-Closure Glaucoma

机译：超声乳化与单纯超声乳化联合小梁切除术治疗原发性闭角型青光眼

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摘要

Surgical outcomes of phacoemulsification only and phacoemulsification combined with trabeculectomy were compared in patients with primary angle-closure glaucoma (PACG). Clinical records of 41 consecutive patients were retrospectively reviewed, and there was no difference in best-corrected visual acuity and intraocular pressure preoperatively and at the final follow-up in both study groups. Regarding the number of anti-glaucoma medications, it was higher in the phacoemulsification combined with trabeculectomy group preoperatively than the phacoemulsification only group (p = 0.045), but both groups were taking similar quantities of medication at the final follow-up (p = 0.6). In addition, postoperative hypotony (two cases) occurred only after phacoemulsification combined with trabeculectomy, but not after phacoemulsification only. In one case after phacoemulsification only, a second operation was needed. There were no additional postoperative complications. In conclusion, both phacoemulsification only and phacoemulsification combined with trabeculectomy showed good surgical outcomes in PACG patients. Both procedures might be equally effective in treating patients with PACG.
机译：对原发性闭角型青光眼（PACG）患者仅进行超声乳化和超声乳化联合小梁切除术的手术效果进行了比较。回顾性回顾了41例连续患者的临床记录，在两个研究组中，术前和最终随访时最佳矫正视力和眼内压没有差异。关于抗青光眼的药物数量，术前超声乳化联合小梁切除术组比单纯超声乳化术组高（p = 0.045），但两组在最后的随访中服用的药物量相似（p = 0.6） ）。另外，仅在超声乳化联合小梁切除术后才发生术后低渗（2例），而仅在超声乳化后才发生。在仅超声乳化后的一种情况下，需要进行第二次手术。没有其他术后并发症。总之，仅超声乳化术和超声乳化联合小梁切除术在PACG患者中均表现出良好的手术效果。两种方法在治疗PACG患者方面可能同样有效。

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