不同抗青光眼手术后浅前房发生率比较及原因分析  

Clinical analysis of shallow anterior chamber after different kinds of anti-glaucoma surgeries and its causes

作　　者：王勤 罗顺利 

机构地区：[1]周口市眼科医院,河南省周口市466002

出　　处：《眼科新进展》2012年第5期488-490,共3页Recent Advances in Ophthalmology

摘　　要：目的比较不同抗青光眼手术后浅前房的发生率,并分析其原因。方法回顾性分析我院2005年12月至2010年12月行抗青光眼手术的160例(220眼)患者资料,根据术前眼压的不同,将患者分为A组(75眼)、B组(78眼)、C组(67眼),各组患者分别行小梁切除术(42眼、26眼、22眼)、巩膜咬切术(25眼、28眼、25眼)及复合式小梁切除术(8眼、24眼、20眼)。术后随访时间1～12个月,记录患者术后浅前房的发生率,并分析其原因。结果 220眼中,术后发生浅前房者共86眼(39.1%),其中行小梁切除术者42眼(46.7%),行巩膜咬切术者31眼(39.7%),行复合式小梁切除术者13眼(25.0%);3种术式之间的浅前房发生率比较,复合式小梁切除术显著低于其他2种术式,差异均有统计学意义(均为P<0.05),其他2种术式之间差异无统计学意义(P>0.05)。3组术后浅前房发生率之间比较,A组显著低于B组和C组,差异均有统计学意义(均为P<0.05);B组和C组之间比较,差异无统计学意义(P>0.05)。术后浅前房发生的主要原因为睫状体脉络膜脱离、原因不明,与其他原因比较,差异均有统计学意义(均为P<0.05)。结论术前眼压与术后浅前房发生率之间具有直接关系,复合式小梁切除术后浅前房发生率较低,青光眼术后浅前房发生的主要原因为睫状体脉络膜脱离及原因不明。Objective To explore the occurrences and causes of shallow anterior chamber after different kinds of anti-glaucoma surgeries.Methods The clinical data of 160 patients（220 eyes） underwent anti-glaucoma surgery in our hospital from December 2005 to December 2010 were retrospectively analyzed.Based on the intraocular pressure before surgery,the patients were divided into group A（75 eyes）,group B（78 eyes） and group C（67 eyes）,and the trabeculectomy（42 eyes,26 eyes,22 eyes）,sclerolimbctomy（25 eyes,28 eyes,25 eyes） and combined trabeculectomy（8 eyes,24 eyes,20 eyes） were performed.The follow-up time was from 1 month to 12 months,the occurrence rates of shallow anterior chamber after surgery were recorded,and the causes were analyzed.Results In 220 eyes,the shallow anterior chamber appeared in 86 eyes（39.1%）,including 42 eyes（46.7%） with trabeculectomy,31 eyes（39.7%） with sclerolimbctomy,13 eyes（25.0%） with combined trabeculectomy,compared with combined trabeculectomy,there were statistical differences in occurrence rate of shallow anterior chamber of trabeculectomy and sclerolimbctomy（both P0.05）,and no statistical difference between trabeculectomy and sclerolimbctomy（P0.05）.The occurrence rate of shallow anterior chamber in group A was lower than that in group B and C,there were statistical differences（both P0.05）,but no statistical difference between group B and C（P0.05）.The main causes of shallow anterior chamber were choroidal detachment and unclear causes,compared with other causes,there were statistical differences（both P0.05）.Conclusion The intraocular pressure before surgery is related directly with the occurrence rate of shallow anterior chamber,combined trabeculectomy has low shallow anterior chamber incidence,and the main causes of shallow anterior chamber after anti-glaucoma surgery are choroidal detachment and unclear causes.

关 键 词：小梁切除术 巩膜咬切术 复合式小梁切除术 浅前房 

分 类 号：R775[医药卫生—眼科]