方法：收治原发性闭角型青光眼合并白内障患者54例60眼，随机分成单切口组和双切口组，常规降眼压治疗后行白内障超声乳化人工晶状体植入联合小梁切除术，随访3mo，观察眼压、最佳矫正视力及前房炎症，对比两种术式的疗效。

结果：(1)眼压：两组间比较，差异无统计学意义(P>0.05)。(2)最佳矫正视力：术后1d视力，双切口组0.31±0.27，单切口组0.19±0.22，组间差异有统计学意义(P<0.05)； 术后1wk； 1mo和3mo随访视力，两组比较无统计学意义(P>0.05)。(3)术后前房炎症：术后1d双切口组前房渗出明显较单切口组少，两组间差异有统计学意义(P<0.05)； 通过抗炎治疗，术后1wk； 1，3mo组间差异无统计学意义(P>0.05)。

结论：双切口白内障超声乳化人工晶状体植入联合小梁切除术是治疗闭角型青光眼合并白内障安全、有效的治疗手段。

METHODS: Fifty-four patients(60 eyes)with primary angle-closure glaucoma patients with cataract were randomly divided to single-incision group and double-incision group. Both were treated by phacoemulsification and intraocular lens implantation and trabeculectomy, followed up for 3mo. Intraoeular pressure(IOP), best corrected visual acuity(BCVA), inflammation of anterior chamber were observed.

RESULTS: 1)IOP: Postoperative, the average IOP had no statistical significance between two groups(P>0.05). 2)BCVA: the level of BCVA in double-incision group was 0.31±0.27 on 1d after surgery, single-incision group was 0.19±0.22, the differences had statistical significance(P<0.05). But on 1wk, 1, 3mo, the differences between two groups had no statistical significance(P>0.05). 3)Inflammation of anterior chamber after surgery: on 1d there were 9 eyes in double-incision group and 18 eyes in single-incision group, the differences had statistical significance(χ²=5.45, P<0.05). By anti-inflammatory treatment the differences between two groups had no statistical significance(P>0.05)on 1wk, 1, 3mo postoperative.

CONCLUSION: Double-incision operation of combining phacoemulsification and intraocular lens implantation and trabeculectomy is an effective and safe therapeutic method for patients with primary closed-angle glaucoma and cataract.