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为了评价小切口白内障手术联合小梁切除术的效果，我们回顾性地对比分析了 ５２ 例青光眼合并白内障患者的临床资料，其中２２ 例 （３０ 眼） 行超声乳化白内障摘除联合人工晶体植入及小梁切除术 （小切口组）， ３０ 例 （４４ 眼） 行白内障囊外摘除联合人工晶体植入及小梁切除术 （常规组）。结果显示： 术后 ６ 周内， 小切口组角膜散光度明显小于常规组， 且视力提高较大 （ Ｐ＜ ００１）； 术后 １２ 个月时， 两组的眼压控制成功率相似， 但小切口组需加用抗青光眼药物者少于常规组。提示小切口白内障手术联合小梁切除术的临床效果良好。
To evaluate the effect of small incision cataract surgery combined with trabeculectomy, we retrospectively analyzed the clinical data of 52 patients with glaucoma and cataract. Twenty-two patients (30 eyes) underwent phacoemulsification combined with intraocular lens implantation and small 30 cases (44 eyes) underwent extracapsular cataract extraction combined with intraocular lens implantation and trabeculectomy (conventional group). The results showed that within 6 weeks after operation, the small incision corneal astigmatism was significantly less than the conventional group, and the visual acuity increased significantly (P <0 01); 12 months after operation, the two groups of intraocular pressure control success rate was similar, However, small incision group need to add anti-glaucoma medication less than the conventional group. Tip small incision cataract surgery combined with trabeculectomy clinical effect is good.