复合式小梁切除术治疗青光眼患者的临床研究  

Clinical research on complex trabeculectomy in the treatment of glaucoma

作　　者：黄信[1] 

机构地区：[1]广西壮族自治区天等县人民医院眼科,广西天等532800

出　　处：《中国医药导报》2012年第4期28-29,共2页China Medical Herald

摘　　要：目的探讨复合式小梁切除术治疗青光眼的临床疗效。方法将我院57例(61眼)青光眼患者随机分为研究组(30眼)与对照组(31眼),分别行复合式小梁切除术(联合丝裂霉素)及传统小梁切除术,比较两组视力、眼压及滤过泡,并随访3个月。结果术后3个月两组视力比较,差异无统计学意义(χ2=0.50,P>0.05),术后远期研究组眼压显著低于对照组(t=5.614,P<0.05),术后3个月研究组滤过泡发生率显著低于对照组(P<0.01)。结论复合式小梁切除术治疗青光眼疗效确切,值得在青光眼手术中推广。Objective To study the clinical effect of complex trabeculectomy in the treatment of glaucoma.Methods 57 cases（61 eyes） with glaucoma were divided into study group（30 eyes） and control group（31 eyes）,study group was given complex trabeculectomy with Mitomycin,control group was given traditional trabeculectomy.The visual acuity,intraocular pressure and filter bulbs were measured and compared between the two groups during 3 months after operation.Results Visual acuity was no significant difference between the two groups after 3 months（χ2=0.50,P 0.05）.The intraocular pressure of long-term postoperative of study group was significantly lower than that of control group（t = 5.614,P 0.05）.The incidence of filter bulbs of study group was significantly lower than that of control group（P 0.01）.Conclusion The complex trabeculectomy is effective for glaucoma,and it is worthy of application in glaucoma surgical operation.

关 键 词：青光眼 复合式小梁切除术 丝裂霉素 

分 类 号：R755[医药卫生—皮肤病学与性病学]