改良可拆除缝线在小梁切除术中的应用  

Application of improved releasable suture in trabeculectomy

作　　者：陈超[1] 王玲[1] 

机构地区：[1]济宁医学院附属济宁市第一人民医院,山东济宁272011

出　　处：《济宁医学院学报》2013年第2期112-114,共3页Journal of Jining Medical University

摘　　要：目的探讨小梁切除术中改良的可拆除缝线的应用效果。方法对40例65眼原发性闭角型青光眼手术患者随机分为A、B两组,A组(20例,30眼)接受常规小梁切除术,B组(20例35眼)接受联合改良的可拆除缝线的小梁切除术。所有患者术后随访6月,观察两组术后眼压、滤过泡形态、早期并发症的发生情况。结果术后1dA组眼压较B组低,差异有统计学意义(P<0.05);术后随访6个月内B组眼压均较A组低,差异有统计学意义(P<0.05)。术后早期B组并发症发生率明显低于A组,差异具有统计学意义(P<0.05)。结论联合改良可拆除缝线的小梁切除术比常规小梁切除术能更好地预防青光眼术后早期并发症,值得临床推广。Objective To discuss the effect of application of improved releasable suture in trabeculectomy. Methods Totally 65 eyes of 40 patients with the angle-closure glaucoma were included in this study, which were randomly divided into group A and group B. 20 cases （30 eyes） with normal trabeculectomy were in group A,while 20cases （35eyes） with trabeculectomy combined improved releasable suture were in group B. Those patients were followed up 6 months. Intraocular pressure （lOP）, filtering bleb and early postoperative complication were recorded and analyzed.Results There were statistically significant differences in the mean IOP between two groups were found in the six months after the operation （P〈0.05）. The incidence of early postoperative complications in group B were significantly lower than that in group A （P〈0.05）. Conclusion Trabeculectomy combined improved re- leasable suture can significantly reduce the early postoperative complications. It＇s worthy applying in clinical prac- tice.

关 键 词：小梁切除术 改良可拆除缝线 术后并发症 青光眼 

分 类 号：R775[医药卫生—眼科]