巩膜瓣缝线拆除时间对白内障超声乳化小梁切除术安全性和长期成功率的影响  

The effect of the timing of scleral flap suture release on the safety and long-term success of phacotrabeculectomy

作　　者：Banitt M. Juzych M. S. Chopra V. 曹绪胜(译) 

机构地区：[1]Kresge Eye Institute, Wayne State University, School of Medicine, Detroit, MI, United States [2]不详

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第9期15-15,共1页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：PURPOSE:To investigate the effect of the timing of the scleral flap suture release on the safety and long-term success of phacotrabeculectomy.DESIGN:Retrospective,nonrandomized chart review.METHODS:We studied 173 eyes of 173 consecutive patients who underwent primary phacotrabeculectomy,with or without intraoperative mitomycin-C,and subsequent scleral flap suture release.RESULTS:Early suture release(< 3 weeks)had a lower long-term success rate than late suture release(> 3 weeks),with an average follow-up period of 44.8 months.Patients who used mitomycin-C had statistically later suture release than did patients without mitomycin-C.There were nine cases of hypotony,for which independent risk factors were early suture release and the use of mitomycin-C.CONCLUSIONS:Greater long-term success with minimal complications was achieved when scleral flap suture release was performed three weeks after phacotrabeculectomy.Suture release within three weeks after surgery was associated with an increased risk of filtration failure and a higher risk of postoperative complications.PURPOSE： To investigate the effect of the timing of the scleral flap suture release on the safety and long-term success of phacotrabeculectomy. DESIGN： Retrospective, nonrandomized chart review. METHODS： We studied 173 eyes of 173 consecutive patients who underwent primary phacotrabeculectomy, with or without intraoperative mitomycin-C, and subsequent scleral flap suture release. RESULTS： Early suture release （〈 3 weeks） had a lower long-term success rate than late suture release （〉 3 weeks）, with an average follow-up period of 44. 8 months. Patients who used mitomycin-C had statistically later suture release than did patients without mitomycin-C. There were nine cases of hypotony, for which independent risk factors were early suture release and the use of mitomycin-C. CONCLUSIONS： Greater long-term success with minimal complications was achieved when scleral flap suture release was performed three weeks after phacotrabeculectomy. Suture release within three weeks after surgery was associated with an increased risk of filtration failure and a higher risk of postoperative complications.

关 键 词：白内障超声乳化 小梁切除术后 巩膜瓣缝线 缝线拆除 拆线时间 安全性 功率 丝裂霉素-C 

分 类 号：R779.66[医药卫生—眼科]