难治性青光眼复合式小梁切除联合羊膜植入术疗效观察  

Clinical observation of bio-amnion implantation used in combined trabeculectomy for refractory glaucoma

作　　者：薛馨槐 高阳 

机构地区：[1]中国辽宁省本溪市中心医院眼科,117000

出　　处：《国际眼科杂志》2013年第5期944-946,共3页International Eye Science

摘　　要：目的:观察难治性青光眼复合式小梁切除联合羊膜植入术临床疗效。方法:选择我院80例86眼难治性青光眼患者,随机分为复合式小梁切除术联合羊膜植入术组(实验组)43眼和复合式小梁切除术组(对照组)43眼。观察术后眼压、滤过泡形成情况及并发症。结果:随诊12mo,平均眼压:实验组15.5±1.1mmHg,对照组19.7±2.5mmHg,两组术后平均眼压差异有统计学意义(P<0.05);功能性滤过泡:实验组(86%)较对照组(67%)多,差异有统计学意义(P<0.05);术后并发症(浅前房、脉络膜脱离和滤过泡渗漏)发生率实验组明显低于对照组。结论:复合式小梁切除联合羊膜植入术治疗青光眼具有手术成功率高,术后并发症发生率低的特点。AIM： To observe the clinical effect of bioamnion implantation used in combined trabeculectomy for refractory glaucoma METHODS： Totally 86 eyes of 80 glaucoma patients were randomly divided into 2 groups. In experimental group, 43 eyes underwent trabeculectomy combined with bio-amnion implantation. In control group, 43 eyes only underwent trabeculectomy combined. The intraocular pressure （lOP）, filtrative bleb and complications were observed. RESULTS： Following-up for 12 months, lOP： there was significant difference between the average lOP （15.5 ±1.1mmHg） in experimental group and the average lOP （19. 7±2.5mmHg） in control group （P〈0.05）. Filtrative bleb： the incidence of the functional filtering bleb （86%） in experimental group was more than the one in control group （67%1）, there was significant different between the two groups （P〈0.05）. The incidence of complications of postoperation （shallow anterior chamber, choroidal detachment and bleb leaking was lower than the one of the control group obviously. CONCLUSION： Combined trabeculectomy with bioamnion implantation can increase the rate of success and reduce the incidence of complications.

关 键 词：生物羊膜植入术 复合式小梁切除术 难治性青光眼 

分 类 号：R779.6[医药卫生—眼科]