巩膜瓣可调整缝线在小梁切除术中的应用分析  

Clinical application of adjustable suture on trabeculectomy

作　　者：马庆祥[1] 石一宁[2] 

机构地区：[1]陕西省榆林市第一医院眼科,719000 [2]陕西省人民医院眼科

出　　处：《临床眼科杂志》2011年第4期328-329,共2页Journal of Clinical Ophthalmology

摘　　要：目的观察巩膜瓣可调整缝线在小梁切除术中的应用效果。方法对60例(80只眼)青光眼患者做常规的三角形巩膜瓣与小梁切除术,在巩膜瓣两侧做可调整缝线,术后观察眼压、前房深度、结膜滤过泡。当手术后前房形成稳定或眼压回升大于10 mm Hg时,拆除巩膜瓣可调整缝线。结果术后第1天全部前房形成良好,术后巩膜瓣可调整缝线2周内拆除,平均7 d,可调整缝线拆除后,结膜滤过泡明显增大。结论巩膜瓣可调整缝线能促进小梁切除术后早期前房的形成,有效预防术后浅前房发生,术后2周内拆线对眼压具有调节作用,提高青光眼小梁切除术的安全性。Objective To observe the effect of adjustable suture on the trabeculectomy.Methods 60 cases of 80 eyes with diagnosis of angle closure or open angle glaucoma were performed the standard triangle sclera flap and trabeculectomy,and with 2 ajustable sutures on the both sides of triangle flap.The intraocular pressure,anterior chamber depth,conjunctival bleb were observed postoperatvely.The suture was removed when the anterior chamber formed stably,or the intraocular pressure was over 10 mm Hg.Results The anterior chamber formed deeply on the first post-operative day.The adjustable suture was removed within 2 weeks,with an average 7 days.The conjunctiva filtered bleb increased apparently after the suture’s pull-out.Conclusion The scleral adjustable suture may help the anterior chamber’s reforming after the trabeculectomy and make it a safer procedure.

关 键 词：青光眼 小梁切除术 可调整缝线 滤过泡 

分 类 号：R779.6[医药卫生—眼科]