不同方法治疗新生血管性青光眼的临床疗效观察  

Clinical observation of the curative effects of different treatments for neovascular glaucoma

作　　者：姜秀[1] 

机构地区：[1]中国辽宁省沈阳市第四人民医院眼科,110031

出　　处：《国际眼科杂志》2014年第1期34-36,共3页International Eye Science

摘　　要：目的:探索观察不同方法在新生血管性青光眼治疗中的临床效果。方法:选择201 1-01/2012-12在我院治疗的140例140眼新生血管性青光眼患者作为研究对象行回顾性分析,按治疗方法不同分为:A组(单纯小梁切除术组)20例20眼,B组(行小梁切除术+虹膜周切术组)19例19眼,C组(行睫状体激光光凝术组)42例42眼,D组(行睫状体冷凝术)44例44眼,E组(玻璃体腔注药术组)15例15眼。对其术前和术后眼压、视力等情况以及临床效果,进行综合分析。结果:结合本组研究显示:各组术后眼压恢复情况与各组治疗前相比,差异均有统计学意义(P<0.05)。A组20眼有效率60.0%,B组19眼有效率84.2%,C组42眼有效率71.4%,D组44眼有效率54.5%,E组15眼有效率40.0%。组间比较无统计学意义(P>0.05)。各组术后视力恢复情况与各组治疗前相比,差异均有统计学意义(P<0.05)。结论:对于不同病情的新生血管性青光眼患者,可以采用不同的手术方式进行治疗,以恢复患者的视功能为首要目的。AIM：To observe the clinical curative effects of different methods for the treatment of neovascular glaucoma. METHODS： From January 2011 to December 2012, 140 （ 140 eyes ） patients with neovascular glaucoma were selected as the research objects in our hospital.We made a retrospection analysis and they were randomly divided into group A （ simplex small beam resection group ） 20 cases 20 eyes, group B （ small beam resection and iris circumference resection group） 19 cases 19 eyes, group C （ ciliary body laser light coagulation surgery group ） 42 cases 42 eyes, group D （ ciliary body condensation surgery） 44 cases 44 eyes, group E （ intravitreal medicine injection group ） 15 cases 15 eyes. The intraocular pressure, vision and clinical effects before and after the surgery were analyzed comprehensively RESULTS： The combination study of the groups： the differences were statistically significant when compared postoperative intraocular pressure recovery after surgery with before the treatment in each group （P〈0.05）.In group A, 20 eyes efficiency was 60.0%, group B 19 eyes efficiency was 84.2%, group C 42 eyes efficiency was 71.4%, group D 44 eyes efficiency was 54.5%, group E 15 eyes efficiency was 40.0%.Because the cases in some of the groups were less, there were no statistical significance when compare between them （P〉0.05）.The results of visual recovery were compared with that of prior treatment, the differences were statistically significant （P〈0.05）. CONCLUSION： For different conditions of patients with neovascular glaucoma, we can use different surgical methods.The recovery of visual functions for patients was the primary objective.

关 键 词：青光眼 新生血管性 不同手术治疗 

分 类 号：R779.6[医药卫生—眼科]