小瓣小梁切除术治疗青光眼  

Microtrebeculectomy in Glaucoma

作　　者：方爱武[1] 徐明[1] 李英姿[1] 叶良[1] 

机构地区：[1]温州医学院附属眼视光医院,温州325003

出　　处：《眼科学报》2001年第4期239-240,共2页Eye Science

摘　　要：目的:探讨小瓣小梁切除术治疗青光眼的方法及效果。方法:治疗组:各型青光眼40例40眼,行小瓣小梁切除术,巩膜瓣 2mm×2mm,小梁切除1mm×1mm。对照组:各型青光眼40例40眼,行复合式小梁切除术,巩膜瓣4 mm×3 mm,小梁切除 1.0mm×3.0mm。观察术后眼压及浅前房等并发症,并进行比较。结果:治疗组术前眼压:44.11±14.86 mmHg（1mmHg=0.133 kPa）,对照组术前眼压为46.45±11.27。随访12～18月,术后最后随访眼压:治疗组为12.94±4.13 mmHg,对照组为13.51±3.56mmHg,两组差异无显著意义（t=0.66,P>0.05）。浅前房发生率:治疗组为16％（6/40）,对照组2.6％（1/40）,两组差异无显著意义（r=1.59<3.84,P>0.05）。结论:小瓣小梁切除术是一种安全、有效的抗青光眼滤过手术。眼科学报2001;17:239～240。Object: To study the clinical effectiveness of microtrabeculectomy. Methods: Of 80 patients (80 eyes) with various types of glaucoma, 40 (40 eyes) underwent microtrabeculectomy. The scleral flap measures 2 mm× 2 mm. The rectangular resection of trabeculum measures 1 mm× 1 mm. And 40(40 eyes ) underwent standard trabeculectomy with the scleral flap measuring 3 mm× 4 mm and the resection of trebeculum measuring 1.0 mm ×3.0 mm. Vision acuity, intraocular pressure (IOP) measurements, slit lamp examinations and opthalmicroscope examinations were performed before surgery and after surgery at one, two, eight and 15 days, and one, two, three, six, nine, 12, and 18 months.Results:The mean preoperative IOP was 44.11±14. 86 mmHg(1mmHg -0. 133 kPa) for microtrabeculectomy and 46. 45±11. 27 mmHg for standard trabeculectomy. The mean postoperative IOP and operative complications were similar between the two groups. The mean postoperative IOP was 12. 94±4. 13 mmHg for the group with microtrabeculectomy and 13.51±3. 56 mmHg for the group with standard trabeculectomy at the end of follow-up (12 ~ 18months) . The incidence of shallow anterior chamber was 16% (6/40) in micro group, while it was 2. 6% (1/40) in the other group. There was no significant difference between the two groups (X2-1.59 <3.84, P>0.05).Conclusion: Microtrabeculectomy appears to provide reasonable control of IOP. Eye Science 2001; 17: 239 ~ 240.

关 键 词：小瓣小梁切除术 治疗 青光眼 

分 类 号：R779.6[医药卫生—眼科]