可调节缝线小梁切除术减少严重浅前房  

Trabeculectomy with releasable suture can reduce postoperative shallow anterior chamber

作　　者：路承喆[1] 蔡鸿英[1] 孔怡淳[1] 

机构地区：[1]天津医科大学眼科临床学院青光眼科,天津300020

出　　处：《天津医科大学学报》2008年第2期226-228,共3页Journal of Tianjin Medical University

摘　　要：目的:观察比较可调节缝线小梁切除术与常规小梁切除术术后严重浅前房的发生率。方法:将2001～2006年期间住院的634例(634眼)青光眼患者分为两组,其中292例292眼(A组)行常规小梁切除手术,342例342眼(B组)在常规手术基础上加用可调节缝线。观察两组术后严重浅前房的发生率、总住院天数、术后住院天数。结果:A组21例(7.19%)发生术后严重浅前房,B组7例(2.05%)发生术后严重浅前房,两组有显著性差异(P<0.01)。A组总住院时间(10.57±2.82)d,B组(7.26±2.63)d,两组有显著性差异(P<0.01)。A组术后住院时间(6.68±1.87)d,B组(4.82±2.20)d,两组有显著性差异(P<0.01)。结论:小梁切除手术加用可调节缝线,可以有效减少术后严重浅前房的发生,从而有效减少患者住院天数,减轻患者医疗负担。Objective： To compare the incidence of postoperative shallow anterior chamber in patients by using releasable sutures vs traditional trabeculectomy. Methods： 634 cases （634 eyes） of patients with glaucoma had undergone trabeculectomy in Tianjin Eye Hospital from 2001 to 2006. 292 cases （292 eyes） shallow anterior chamber and days in the hospital were observed. Results： 21 eyes （7.19%） developed postoperative shallow AC in group A and 7 eyes （2.05%） developed postoperative shallow AC in group B （P 〈0.01）. The days staying in the hospital was less in group B（7.26d±2.63d） than in group A（10.57d±2.82d） （P 〈0.01）. The postoperative days staying in the hospital was less in group B （4.82d±2.20d） than in group A （6.68d±1.87d） （P〈0.01）. Conclusion： A releasable scleral-flap suture reduces the incidence of shallow anterior chamber after trabeculectomy the days in hospital and the cost of the oatients.

关 键 词：青光眼 可调节缝线 小梁切除术 浅前房 

分 类 号：R775[医药卫生—眼科]