丝裂霉素C联合巩膜瓣可调缝线在青光眼手术中的应用  

The Application of mitomycin-C associated with scleral flap adjustable suture in glaucoma operation

作　　者：刘建君[1] 王瑞峰[1] 陈梦平[1] 

机构地区：[1]河南省郑州市第二人民医院眼科,450000

出　　处：《中国实用医药》2011年第11期14-15,共2页China Practical Medicine

摘　　要：目的观察丝裂霉素C联合巩膜瓣可调缝线在青光眼滤过术中的应用及术后效果。方法对不同类型的青光眼65例65眼(其中慢性青光眼20例,急性青光眼30例,开角型青光眼10例,难治性青光眼5例)采用小梁切除联合丝裂霉素C及巩膜瓣可调缝线进行治疗,观察其疗效。结果出院时眼压平均在12.63mmHg左右,术后随访2个月至1年,2个月复查眼压平均在14.44mmHg左右,6个月至1年复查眼压均稳定在14～18mmHg之间。结论小梁切除术联合丝裂霉素C巩膜瓣可调缝线能有效的降低眼压,减少了术后并发症,操作简单,安全可靠,提高了手术成功率。Objective To observe the application and postoperative effect of mitomycin-C associated with scleral flap adjustable suture in glaucoma filtering operation.Methods Investigate the therapeutic effect of 65 cases（65 eyes）（20 cases in chronic glaucoma,30 cases in acute glaucoma,10 cases in open angle glaucoma,5 cases in refractory glaucoma） with different kinds of glaucoma who underwent trabeculectomy associated with mitomycin-C and scleral flap adjustable suture.Results All the average intraocular pressure were about 12.63 mm Hg.They were followed up 2 months ～ 1 year.And the reviwed intraocular pressure was 14.44 mm Hg 2 months later.All the reviwed intraocular pressure was stable between 14 ～ 18 mm Hg 6 months later.Conclusion The method of trabeculectomy associated with mitomycin-C and scleral flap adjustable suture could decrease the intraocular pressure effectively and reduce the postoperative complications.It is a kind of simple procedure and safe method which can improve the achievement ratio

关 键 词：小梁切除术 丝裂霉素C 巩膜可调缝线 

分 类 号：R779.6[医药卫生—眼科]