113例青光眼小梁切除术中应用前房穿刺效果的回顾性分析  

113 cases of glaucoma trabeculectomy paracentesis of anterior chamber in retrospective analysis of effectiveness

作　　者：丁艳平[1] 刘淑琴[1] 李真[1] 

机构地区：[1]北京大学首钢医院眼科,北京100144

出　　处：《中医学报》2013年第B08期108-108,共1页Acta Chinese Medicine

摘　　要：目的：分析青先眼小梁切除术中应用前房穿刺的效果。方法：观察近年来113倒（149眼）青先眼小梁切除术中应用前房穿刺，患者术中术后并发症及眼压。结果：149眼均顺利完成手术，术中无并发症出现。但术后有15例患者出现并发症，并发症发生率为：10．07％。其中8例患者出现滤过强，发生率为：5．37％。药物保守治疗后均好转，5例患者出现浅前房，发生率为：3．36％，经药物保守治疗后消失；有2例患者发生恶性青光眼，发生率为：1．34％。采用药物联合“玻璃体抽洼＋前房注气”手术治疗，恢复正常。结论：小果切除术中应用前方穿刺减少了并发症的发生，提高了手术的成功率。值得推广。Objeetive： Inthe analysis glaucoma young Liangexeision method appliesthesnteroo, m puncturetheeffect. Methods ： The observation 113 exam-ples（149）inglaucoma young Liang excision methodapplied the anteroompuncturein recent years,inafter the patient techniquethe tech-nique,complicationand intraocularpressure. ResultsIn thetechnique outside the aniridia supports and the choroid epicoele hemorrhage, the teeh-niqueaftef-filtration is excessively strong and theleakage has theshallowanteroom 13examples,restoresafterthe conservative treatment. the ma-lignant glatlcoma 2examples,＂pullout the fluid ＋anter60mgas injectionMter the vitreousbody＂the unionpharmacologieal treatment, the anteroom Intraocuiarpressure arenormal. Conclusion zIn the young Li-ang excision method front the applieationthe puncture reduced the eomplicationOecur-feneetraisedsurgery, ssuecess ratio,is worthpromoting.

关 键 词：青光眼小莱切除术 应用前房穿刺效果 回顾性分析 

分 类 号：R246.82[医药卫生—针灸推拿学]