方法：选取我院2013-01/2016-01期间收治的急性闭角型青光眼合并白内障患者40例58眼按照随机数字表法分为两组：观察组20例29眼予以双切口三联术治疗，对照组20例29眼予以单切口三联术治疗，比较两组术后术眼的视力、眼压、术后滤过泡，术前和术后1mo的角膜内皮细胞密度、面积，并统计两组术后合并症发生情况。

结果：两组术后视力较术前均显著提高，但组间比较差异无统计学意义(P>0.05)； 观察组术后眼压、术后滤过泡形成率分别为14.41±1.38mmHg、90%，与对照组的14.40±1.40mmHg、 86%比较无统计学意义(P>0.05)，观察组术后1mo时的角膜内皮细胞密度和面积为1696.6±300.8个/mm²、540.8±71.6μm²，与对照组的(1410.6±288.5个/mm²、594.3±72.8μm² )差异具有统计学意义(P<0.05)； 术后合并症发生率观察组为17%，对照组为21%，差异无统计学意义(P>0.05)。

结论：对于急性闭角型青光眼合并白内障患者，给予双切口三联术和单切口三联术治疗均能取得良好效果，但双切口术式对角膜内皮细胞损伤更小。

METHODS: Patients admitted in our hospital during Jan. 2013 to Jan. 2016.The acute angle closure glaucoma with cataract patients in 40 cases(58 eyes)were randomly divided into two groups: the observation group of 20 cases(29 eyes)with two incision triple surgery treatment, and the control group of 20 cases(29 eyes)with single incision triple after treatment. Visual acuity, intraocular pressure, bleb, corneal endothelial cell density, the area at 1mo before and after surgery, and postoperative complications of two groups were analyzed.

RESULTS: Postoperative visual acuity of two groups were significantly improved, but there was no significant difference between groups(P>0.05); postoperative intraocular pressure, bleb formation rate of the observation group were 14.41±1.38mmHg, 90%, and the control group 14.40±1.40mmHg, 86% without statistical significance(P>0.05), corneal endothelial cell density and area of observation group after 1mo were 1696.6±300.8/mm², 540.8±71.6μm², and control group 1410.6±288.5/mm² and 594.3±72.8μm² with significant differences(P<0.05). The incidence rate of compli-cation was 17% in the observation group, and 21% in control group(P>0.05).

CONCLUSION: For patients with acute angle closure glaucoma and cataract given two incision triple surgery and single incision triple surgery treatment can get good outcomes, but the effect of double incision on corneal endothelial cell injury is less.