小梁切除术中深层巩膜切除效果的临床观察  

Clinical observation of deep-layer sclerotica removal of trabeculectomy

作　　者：刘琳琳[1] 马克明[1] 徐宝玲[1] 

机构地区：[1]新乡市第一人民医院眼科,河南新乡453000

出　　处：《眼外伤职业眼病杂志》2007年第7期500-502,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的 评价小梁切除术中增加深层巩膜切除治疗青光眼的疗效.方法 对不同类型的青光眼采用了深层巩膜切除的小梁切除术（A组）36例46眼,其中原发性急性闭角型青光眼26例32眼,原发性开角型青光眼6例10眼,继发性青光眼4例4眼.并与我院传统小梁切除术（B组）33例46眼进行对比.术后观察眼压、前房、滤过泡及视力,随访时间1年.结果 术后眼压≤21 mmHg（1 mmHg=0.133 kPa）者,A组42眼（91.30%）,B组28眼（60.87%）.前房：A组44眼于术后3～4天完全形成,2眼发生浅前房（4.35%）,经药物处理后7天形成;B组16眼发生不同程度的浅前房（34.78%）.滤过泡：功能性滤过泡A组44眼（95.65%）,B组28眼（60.87%）.视力：A组提高者28眼,不变者16眼,减退者2眼;B组提高者16眼,不变者23眼,减退者7眼,两组差异有统计学意义.结论 传统的小梁切除术中增加深层巩膜切除可减少术后浅前房的发生,控制眼压的效果更好.Objective To evaluate the curative effects of trabeculectomy plus deep-layer sclerotica removal in glaucoma. Methods 36 patients with different type of glaucoma were treated with trabeculectomy plus deep-layer sclerotica removal （group A, 46 eyes） ,among them 26 ones（32 eyes） were primary acute angle-closure glaucoma,6 （10 eyes） primary open-angle glaucoma and 4 （4 eyes） secondary glaucoma,and compared with 33 patients receiving traditional trabeculectomy in our hospital（ group B ,46 eyes ）. after operation, ocular tension, atria, col-bubble and vision were observed and followed up for 1 years. Results Post-operation ocular tension 〈 or ：21 mmHg were 42 eyes（91.30% ） in the group A and 28 ones（60.87% ） in the group B; in the group A, atria of 44 eyes completely formed within 3-4 days after operation, 2 ones formed shallow of anterior chamber（4.35% ） and did atria after 7 day medication; in the group B, 16 eyes developed different extent of shallow of anterior chamber（34.78% ） ; 44 eyes had functional col-bubble in the group A（95.65% ） and 28 eyes did in the control group（60.87% ） ; in the group A, visions of 28 eyes improved, 16 didn＇t change and 2 decreased： in the group B. 16 improved, 23 didn＇t change and 7 decreased, differerence showed statistictional significance between the 2 groups. Conclusions Traditional trabeculectomy plus deep-layer sclerotica removal can decrease the development of post-operation shallow of anterior chamber and effects of controlling ocular tension is better.

关 键 词：青光眼 小梁切除 深层巩膜切除 效果 

分 类 号：R779.6[医药卫生—眼科]