青光眼小梁切除术前球结膜下注射丝裂霉素抗瘢痕形成的初步报告  

A preliminary report of antiscar formation effect by subconjunctivalinjection of mitomycin C before trabeculectomy in glaucoma

作　　者：夏晓波 黄佩刚 刘双珍 

出　　处：《湖南医科大学学报》1998年第3期292-294,共3页Bulletin of Hunan Medical University

基　　金：湖南省科委资助

摘　　要：为改善青光眼小梁切除术后滤过泡的功能，提高手术成功率，对３２例（３８眼）各型中晚期青光眼患者在行小梁切除术前球结膜下注射丝裂霉素（０．０２ｍｇ·ｍｌ－１）。术后随访６～１２个月。结果示：９３．７％术眼为功能性滤过泡，手术成功率为９７．４％；术后并发症主要为浅前房（７．９％）。To improve the function of filtering blebs and increase the successful rate of the trabeculectomy, mitomycin C injection 0.02mg·ml^(-1) was given subconjunctivally at the operative site before trabeculectomy in 32 patients (38 eyes) with moderate or late glaucoma. All patients were followed up for 6 to 12 months. The results showed that the rate of functional blebs were 93.7%. The successful rate of the operation was 94.7%. The common postoperative complication was shallow anterior chamber (7.9%). These findings indicate that the subconjunctival injection of mitomycin C before operation is a safe, effective method for antiscar formation.

关 键 词：青光眼 小梁切除术 丝裂霉素 瘢痕 

分 类 号：R775.05[医药卫生—眼科]