术中可调整缝线在小梁切除术中的应用  

Application of intraoperative adjustable suture in trabeculectomy

作　　者：邱海雁[1] 陈建康[1] 俞臻[1] 

机构地区：[1]湖州市中心医院眼科,浙江313000

出　　处：《中国实用眼科杂志》2014年第3期341-342,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察术中可调整缝线在小梁切除术中应用的临床效果。方法对2010年1月至2012年10月在湖州市中心医院眼科就诊的109例（121只眼）原发性青光眼患者行小梁切除术，均采用术中可调缝线缝合巩膜瓣。观察术后前房深度、眼压、滤过泡形态等情况。结果术后1周内有3只眼发生I度浅前房，2只眼发生Ⅱ度浅前房，未有发生Ⅲ度浅前房的眼，浅前房发生率为4．13％（5／121）。术后一周眼压9～20mmHg，平均12．5mmHg，术后1个月眼压9-26mmHg，平均14．3mmHg。术后3个月，Ⅰ型滤过泡32只眼，Ⅱ型滤过泡86只眼，Ⅲ型滤过泡2只眼，Ⅳ型滤过泡1只眼。功能性滤过泡118只眼。结论小梁切除术采用术中可调整缝线简单、安全、有效，值得临床推广。Objective To observe the clinical effect of intraoperative adjustable suture in trabecu- lectomy. Methods Trabeculectomy were done in 109 cases （121 eyes） of primary glaucoma, intraop- erative adjustable suture was used in scleral flap. Postoperative anterior chamber depth, intraocular pressure and filtering bleb were observed. Results Within 1 week after operation, shallow anterior chamber of degree I occurred in 3 eyes and shallow anterior chamber of degree Ⅱ in 2 eyes, no shallow anterior chamber of degree Ⅲ occurred. The shallow anterior chamber rate was 4.13%. The intraocular pressure was 9-20mmHg （averaged 12.5mmHg） in 1 week after operation and 9-26mmHg （averaged 14.3mmHg） in 1 month after operation. In 3 months after operation, degree Ⅰ filtering bleb was in 32 eyes, degree Ⅱ filtering bleb in 86 eyes, degree Ⅲ filtering bleb in 2 eyes, degree IV filtering bleb was in 1 eye, and functional filtering bleb was in 118 eyes （97.5%）. Conclusions Intraoperative adjustable suture in trabeculectomy is simple, safe and effective.

关 键 词：小梁切除术 可调整缝线 青光眼 

分 类 号：R775[医药卫生—眼科]