小梁切除术的远期疗效观察——寿命表法分析  

Long term results of trabeculectomy:an analysis by life table method

作　　者：周芳[1,2] 方谦逊[1,2] 宋广瑶 罗正容[1,2] 

机构地区：[1]陕西省人民医院眼科 [2]华西医科大学第一附属医院眼科

出　　处：《中国实用眼科杂志》1998年第5期39-42,共4页Chinese Journal of Practical Ophthalmology

摘　　要：本文将寿命表法用于青光眼小梁切除术后远期疗效的研究，得出术后各年的成功率及成功率曲线。术后５年成功率分别是：１１０眼各型青光眼５６．８％±５．４％；９５眼原发性两型青光眼５８．９±５．７％；８０眼闭角型青光眼６３％±６．１％。眼压失控主要发生于术后一年以内。作者认为，运用寿命表法对需要长期追踪观察的病例进行研究，是一种较为科学的统计方法，值得推广。AbstractMany reports have described the long term results of trabeculectomy.They have,however,until recently been by simple estimation of the percentage of success for all pooled follow up periods which tended to overestimate the true success rate for long term follow up periods and has been labeled simple statistics.The life table method was applied to the long term follow up of glaucoma for its therapeutic efficacy in 1982 by Inaba.It is generally accepted as a more accurate method for long term follow up of chronic illness.The present work is a retrospective study of the efficacy of long term treatment in 110 eyes of 82 patients subjected to trabeculectomy.the overall probability of success calculated by the life table method,after 5 years was 57% in all types of glaucoma and 59% in primary two types glaucoma and 63% in primary angle closure glaucoma.The majority of failure occured within the first postoperative year.

关 键 词：小梁切除术 寿命表法 

分 类 号：R779.6[医药卫生—眼科]