小梁切除联合羊膜移植术治疗青光眼  

Trabeculectomy combined with amniotic membrane transplantation for treatment of glaucoma

作　　者：李秀贵[1] 

机构地区：[1]山东省菏泽市立医院眼科,菏泽274031

出　　处：《中国眼耳鼻喉科杂志》2008年第3期172-173,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨小梁切除联合羊膜移植术治疗青光眼的临床疗效。方法选择行滤过手术的58例(74眼)青光眼患者,随机分为小梁切除联合羊膜移植术组(实验组)26例(36眼)和单纯小梁切除术组(对照组)32例(38眼)。分析比较两组术后的前房、眼压及滤过泡情况。结果术后第1天的浅前房发生率实验组(2.8%)明显低于对照组(21.1%);术后1年时实验组的功能性滤过泡(88.9%)较对照组(60.5%)多,实验组手术成功率(94.4%)较对照组(71.1%)高,差异均有统计学意义(P<0.05)。结论小梁切除联合羊膜移植术可有效地控制眼压,并能有效地促进青光眼功能性滤过泡的形成而减少术后浅前房的发生。Objective To evaluate the clinical effect of trabeculectomy combined with amniotic membrane transplantation in glaucoma. Methods Fifty-eight cases （74 eyes） with glaucoma were randomly divided into the combined trabeculectomy group （the observed group, 26 cases, 36 eyes） and the trabeculectomy group （the control group, 32 cases, 38 eyes）. The anterior chamber, intraocular pressure（lOP） and filtering blebs of the two groups were compared after operation. Results The incidence rate of shallow anterior chamber in the observed group（2.8% ） was significantly lower than the control group（21.1% ）（P 〈0.05 ） one day after operation. One year later, there were more functional filtering blebs in the observed group （88.9%） than the control group （60.5%） （P 〈 0.05）. The success rate of the observed group （94.4%） was significantly higher than that of the control group （ 71.1% ） （ P 〈 0. 05 ）. Conclusions Trabeculectomy combined with amniotic membrane implantation could control the lOP and promote the formation of functional filtering bleb effectively ,with less postoperative shallow anterior chamber.

关 键 词：青光眼 小梁切除术 羊膜移植 

分 类 号：R779.6[医药卫生—眼科]