抗青光眼手术滤过泡依赖性与非依赖性孰优孰劣  

Which is better for anti-glaucoma surgery,filtering bleb dependence or non-dependence

作　　者：谢琳 朱小敏 Xie Lin;Zhu Xiaomin(Department of Ophthalmology,the Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China)

机构地区：[1]重庆医科大学附属第三医院眼科,401120

出　　处：《中华眼科杂志》2018年第11期806-810,共5页Chinese Journal of Ophthalmology

摘　　要：滤过泡依赖性抗青光眼手术(小梁切除手术等)是目前我国手术治疗青光眼的主要方法,但术后滤过泡瘢痕化一直是影响其远期效果的难题。近年来出现的非滤过泡依赖性抗青光眼手术,规避了与滤过泡相关的部分并发症(如浅前房、滤过泡渗漏等),其适应证范畴、远期效果与卫生经济学评价有待进一步探讨,其在国内眼科临床的广泛推广尚需时日。本文以滤过泡依赖性与非依赖性抗青光眼手术谁优谁劣为焦点,阐述两种术式的特点及其利弊,以期为临床深入研究提供参考。(中华眼科杂志,2018.54:806-810)。The filtration bleb dependent surgeries,such as trabeculectomy,are the main methods for glaucoma treatment in China.However,the filtration bleb scarring after the surgery has always been a challenge to long-term results.In recent years,with the application of anti-glaucoma non-filtering bleb dependent surgery,the surgery complications of filter bubble dependence have been avoided,such as shallow anterior chamber and leakage of filtering bleb.Researches are still needed on the indications,long- term effects and health economics evaluations.It also takes time to widely popularize its application in China.This article focuses on comparing the filtration bleb dependent surgeries with non-filtering bleb dependent surgeries to deeply state the characteristics,advantages and disadvantages of the two methods. (Chin J Ophthalmol,2018,54:806-810).

关 键 词：青光眼 眼外科手术 滤过外科手术 最小侵入性外科手术 

分 类 号：R779.6[医药卫生—眼科]