应用UBM评价巩膜池成形联合小梁切除术治疗闭角型青光眼的临床疗效  

Clinical Evaluation of Scleral-pool forming Trabeculectomy for Angle-Closure Glaucoma By Ultrasound Biomicroscopy

作　　者：李红霞[1] 崔巍[1] 王云旭[1] 

机构地区：[1]内蒙古医学院,内蒙古呼和浩特310059

出　　处：《中国实用眼科杂志》2010年第5期470-473,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的 应用UBM探讨巩膜池成形联合小梁切除术的临床疗效.方法 将40例（40只眼）原发性闭角型青光眼患者随机分为两组,实验组（20例）行巩膜池成形联合小梁切除术;对照组（20例）行传统的小梁切除术.术后随访6个月,应用UBM测量术前和术后房角形态以及观察滤过泡内部结构、滤过道（巩膜池大小）,并对两组患者术后视力、眼压、并发症进行比较.结果 术后3个月和术后6个月两组患者的眼压、滤过泡形态以及滤过道（巩膜池大小）比较差异有统计学意义（P〈0.05）,两组中ACD、AOD500、TIA、TCPD、ID1术前和术后比较差异均无统计学意义（P〉0.05）;而两组术后视力和并发症比较差异无统计学意义（P〉0.05）.结论 巩膜池成形联合小梁切除术能够有效的保证房水滤过道通畅且降眼压效果好,术后并发症少,值得临床推广应用.Objective To discuss the effect of scleral-pool forming trabeculectomy on angle-closure glaucoma by ultrasound biomicroscopy and to find a perfect anti-glaucoma surgery procedure.Methods Forty cases （40eyes） of primary angle-closure glaucoma were randomly divided into two groups： experimental group （20eyes） was performed Scleral-pool forming trabeculectomy while control group （20eyes） was performed trabeculectomy. To observe postoperational visual acuity, intraocular pressure, complications, the anterior chamber angle pattern before and after surgery, and postoperational filtration blebs and filtration passage by ultrasound biomicroscopy from postoperational 7D to 6M.Results In follow-up survey, there was statistical significant differences （P〈0.05） in the intraocular pressure, conjunctival filtrating bleb appearance and condition of suprascleral aqueous lake between experimental group and control group in the postoperational 3M and 6M respectively.There were no statistical significant differences between the preoperative and postoperative of ACD, AOD500, TIA, TCPD, ID1 （P〉0.05）.Moreover, postoperational visual acuity and complications were observed in both groups without significant difference （P〉0.05）.Conclusions Scleral-pool forming tra-beculoectomy can effectively assure aqueous out flow, keep opening of filtration passage and low the intraocular pressure.It has less postoperative complications.It has the values of clinical wider application.

关 键 词：闭角型青光眼 UBM 巩膜池成形联合小梁切除术 

分 类 号：R442.2[医药卫生—诊断学]