小梁切除加巩膜瓣可拆除缝线术临床应用研究  

Clinical study of modern trabeculectomy

作　　者：姚淑玲[1] 

机构地区：[1]蚌埠医学院第二附属医院眼科,蚌埠233000

出　　处：《中国实用眼科杂志》2010年第5期463-465,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨巩膜瓣外置可拆除缝线在青光眼小梁切除术中的临床应用效果.方法 对已确诊的开角及闭角型青光眼126例,随机分为两组.实验组61例（120只眼）,即小梁切除及虹膜周边切除.巩膜瓣两角缝合后,再行巩膜瓣两侧外置可拆除缝线,水密缝合.对照组为常规小梁切除术65例（113只眼）,术后随访6-12个月.结果 术后1周两组眼压与术前相比差异有统计学意义,而两组问比较差异无统计学意义（t=1.85,P=0.08）;术后6个月实验组平均眼压（14.34±3.95）mmHg,对照组（19.57±7.76）mmHg,差异有统计学意义（P〈O.05）,实验组功能性滤过泡92%,对照组73%,两组比较差异有统计学意义（X2=5.59,P=0.02）,术后浅前房对照组比实验组多,差异有统计学意义（P〈0.05）.结论 对于开角型和闭角型青光眼（原发性）与常规小梁切除术比较,实验组在防止术后浅前房,术后滤过泡形成和眼压控制方面均有明显优势.Objective To investigate the clinical effect of about modern trabeculectomy.Methods The patients of primary open angle glaucoma and chronic angle closure glaucoma were divided into two groups randomly.Modern trabeculectomy group contained 61 cases （120 eyes）.The control group contained 65 cases （113 eyes） received conventional trabeculectomy. The average follow-up period was 6 to 12 months postoperatively.Results The postoperative intraocular pressures （IOP） were significantly lower than the preoperative IOPS in both groups. While the IOPS on the 7th day after the surgery between the two groups had no statistical significant difference. The average postoperative IOP at the 6th month in the Modern group was 14.34± 3.95 mmHg and 19.57± 7.76 mmHg in the control group, which were statistical significant difference （P〈0.05）. The incidence rate of shallow anterior chamber in the control group was higher than that in the modern group （P〈0.05）.Conclusions Modern trabeculectomy has the advantages of preventing postoperative shallow anterior chamber filtering belbs and achieving better control of postoperative IOP over the conventional trabecule-clomy in primary open angle glaucoma and chronic angle closure glaucoma.

关 键 词：青光眼 小梁切除 可拆缝线 

分 类 号：R775.05[医药卫生—眼科]