高原地区非穿透性小梁切除术治疗开角型青光眼的临床观察  

Clinical observision of primary open angle glaucoma after non-penetrating trabecular surgery in altiplano region

作　　者：易贵荣[1] 白宗禧[1] 田骥[1] 石晶[1] 

机构地区：[1]西藏军区总医院眼科,中国西藏自治区拉萨市850007

出　　处：《国际眼科杂志》2006年第4期939-940,共2页International Eye Science

摘　　要：目的:分析高原地区非穿透性小梁切除术和传统小梁切除术的并发症和临床疗效。方法:78例(130眼)原发性开角型青光眼中,非穿透性小梁切除术组67眼,小梁切除术组63眼,对两组术后6mo的眼压和并发症进行比较分析。结果:非穿透性小梁切除术组和小梁切除术组术后6mo的平均眼压分别为(18.03±3.56)mmHg和(17.67±4.11)mmHg,两组相比无显著性差异(P>0.05)。67眼非穿透性小梁切除术后,Ⅰ和Ⅱ级浅前房为18眼,无Ⅲ级浅前房出现,而63眼传统小梁切除术Ⅰ、Ⅱ级浅前房为33眼,Ⅲ级浅前房8眼。结论:非穿透性小梁切除术具有传统小梁切除术相似的降眼压效果,但手术的安全性高,并发症少。在高原地区具有重要的临床价值。AIM： To analyze the complication and clinical effect of non-penetrating trabecular surgery for primary open angle glaucoma in altiplano region. METHODS：Seventy-eight cases （130 eyes） with primary open angle glaucoma were divided into two groups, which 67 eyes in non-penetrating trabecular surgery group and 63 eyes in trabeculectomy group. The intraocular tension and complications in two groups were compared at six months after surgery. RESULTS： Six months after surgery, the average intraocular tensions of non-penetrating trabecular surgery group and trabeculectomy group were 18.03± 3.56mmHg and 17.67± 4.11mmHg, respectively. There was no significant difference between these two groups （P〉0.05）. After non-penetrating trabecular surgery, 18 of 67 eyes were presented Ⅰ and Ⅱ shallow anterior chamber, no case appeared Ⅲ shallow anterior chamber. However, 33 of 63 eyes with traditional trabeculectomy were presented Ⅰ and Ⅱ shallow anterior chamber, and 8 eyes appeared Ⅲ shallow anterior chamber. CONCLUSION： The non-penetrating trabecular surgery has similar effect of lower the intraocutar tension by comparing to traditional trabeculectomy, but it is safer and has fewer complications than traditional trabeculectomy. Therefore, the non-penetrating trabecular surgery has important clinical value in altiplano region.

关 键 词：原发性开角型青光眼 非穿透性小梁切除术 高原 

分 类 号：R779.6[医药卫生—眼科]