复合式小梁切除术与传统小梁切除术治疗原发性闭角型青光眼的临床观察  

Clinical observation of compound trabeculectomy and traditional trabeculetomy for primary angle-closure glaucoma

作　　者：吕明[1] 孔凡宏[1] 刘建华[1] 任淑兰[1] 

机构地区：[1]中国北京市通州区潞河医院眼科,101149

出　　处：《国际眼科杂志》2009年第11期2100-2101,共2页International Eye Science

摘　　要：目的:观察复合式小梁切除术及传统小梁切除术术后浅前房的发生率及在眼压的控制和功能性滤过泡的维持上是否存在差异。方法:回顾分析A组74例81眼行传统小梁切除术的患者和B组111例126眼行复合式小梁切除术的患者,比较两者在术后1wk内浅前房的发生率,眼压的控制及两组中部分患者术后随访1a眼压的控制及功能性滤过泡的维持情况。并作统计学分析。结果:术后1wk浅前房的发生率A组19.8%,B组8.7%,两组统计学上差异显著(χ2=5.28,P<0.05)术后1wk眼压控制率A组88.9%,B组85.7%,两组统计学上无显著差异(χ2=0.43),随访术后1a眼压的控制率A组73.0%,B组90.2%,两组统计学差异显著(χ2=6.83,P<0.01),功能性滤过泡的比率A组80.8%,B组92.7%,两组统计学上差异显著(χ2=4.30,P<0.05)。结论:复合式小梁切除术较传统小梁切除术能更好的维持术后正常的前房,从而避免由此导致的并发症,且远期控制眼压及维持功能性滤过泡效果良好。AIM：To compare the postoperative occurrences of shallow anterior chamber,ophthalmotonic control and maintenance of functional filterling belbs between compound trabeculectomy and traditional trabeculetomy in treating primary angle-closure glaucoma.·METHODS：One hundred and eighty-five cases（207 eyes） with primary angle-closure glaucoma were divided into two groups.Group A：74 cases（81 eyes） underwent traditional trabeculetomy.Group B：111 cases（126 eyes） underwent compound trabeculectomy.The incidence rate of shallow anterior chamber and the control of intraocular pressure（IOP） one week after operation were compared and analyzed,so were the the control of IOP and maintenance of functional filterling belbs one year after follow-up.·RESULTS：The incidence rate of shallow anterior chamber one week after operation was 19.8% in group A and 8.7% in group B,and the difference was significant between the two groups（χ2=5.28,P〈0.05）.The control rate of IOP one week after operation was 88.9% in group A and 85.7%in group B,and the difference was not significant between the two groups（χ2=0.43）,but after one year follow-up the control rate was 73.0%in group A and 90.2% in group B,and the difference was significant between the two groups（χ2=6.83,P〈0.01）.The maintenance rate of functional filterling belbs was 80.8% in group A and 92.7% in group B,and the difference was significant between the two groups（χ2=4.30,P〈0.05）.·CONCLUSION：The compound trabeculectomy is better than traditional trabeculetomy in keeping the depth of postoperative anterior chamber,and the long-term effect of IOP control and functional filterling belbs maintenance seems to be good.

关 键 词：复合式小梁切除术 传统小梁切除术 青光眼 

分 类 号：R779.6[医药卫生—眼科]