透明角膜侧切口联合可调节缝线防止小梁切除术并发症的疗效观察  

Investigation of lateral hyal-corneal Incision with removable scleral suture preventing the incidence of the com- plications in the trabeculectomy

作　　者：栗印兰[1] 李静敏[1] 刘升强[1] 

机构地区：[1]大连医科大学附属第二医院眼科,116027

出　　处：《临床眼科杂志》2006年第3期215-216,共2页Journal of Clinical Ophthalmology

摘　　要：目的研究透明角膜侧切口联合可调节缝线在小梁切除术中及术后的作用,探讨其减少并发症的疗效。方法将90例(135只眼)施行小梁切除术联合透明角膜侧切口及可调节缝线的青光眼患者与常规小梁切除术的青光眼患者进行对比,观察眼压、滤过泡形态及并发症,尤其是浅前房的情况。结果实验组术后3天内眼压平均值略高于对照组术后的眼压平均值(P＜0.05),二者差异有统计学意义,但远期控制眼压平均值略低于对照组术后的眼压平均值；实验组术后非功能滤过泡不及1%,对照组术后非功能滤过泡占6%,二者差异(P＜0.05)有统计学意义；实验组术后浅前房发生率为3%,对照组术后浅前房发生率为20%,二者差异(P＜0.05)有统计学意义。结论在小梁切除术中联合施行透明角膜侧切口及可调节缝线不仅可以在术中人为形成前房,而且可以减少甚至防止术后并发症的发生,有效控制眼压。Objective To invest the effect of lateral hyalo-comea incision with removable scleral suture during and after the trabeculectomy , to probe the effect of reducing the incidence of the complications. Methods For 90 cases （135 eyes） of glaucoma, trabeculectomy was performed using removable scleral suture and lateral hyalo-comeal incision. Intraocular pressure and filtering blab and the complications, especial for the formation of the shallow anterior chamber, were observed. The incidence was compared with that of 60 cases （85 eyes） treated with simple trabeculectomy. Results Contrasting two groups ,the mean of intraocular pressure of the tested was higher than that of the contrasted within 3 days, but in the long run the former was lower than the latter. The incidence of non-functional filtering blab for the former was 3% ,but 20% for the latter. Conclusion Trabeculectomy with removable scleral suture and lateral hyal-comeal incision cannot only reform the moderate anterior chamber, but reduce the occurrence of the complications and control the level of intraocular pressure.

关 键 词：透明角膜侧切口 可调节缝线 小梁切除术 并发症 

分 类 号：R779.6[医药卫生—眼科]