前房穿刺术预防小梁切除术后浅前房  

Paracentesis in preventing the forming of shallow anterior chamber after trabeculectomy

作　　者：崔巍[1] 高伟[1] 刘森玉[2] 陈小海[1] 王先涛 

机构地区：[1]内蒙古自治区医院眼科,内蒙古自治区呼和浩特市010017 [2]呼和浩特市第一医院眼科 [3]内蒙古中蒙医医院眼科

出　　处：《眼科新进展》2002年第3期200-201,共2页Recent Advances in Ophthalmology

摘　　要：目的　探讨前房穿刺术对预防小梁切除术后浅前房的疗效。方法　将 80例 94眼原发性青光眼随机分为 2组 ,A组 4 0例 4 8眼 ,采用小梁切除术并于术中行前房穿刺术及术毕前房注入 BSS以形成前房 ;B组 4 0例 4 6眼 ,采用小梁切除术治疗 ,不行前房穿刺术 ,使其术后前房自然形成。术后观察前房、滤过泡、眼压等情况。结果　 A组术后浅前房的发生率为 8.3% ,B组浅前房的发生率为 39.9% ,2组相比差异有显著性 (P<0 .0 1)。结论　前房穿刺术对预防小梁切除术后浅前房的发生是一种安全。Objective To explore the therapeutic effect of paracentesis in preventing the forming of shallow anterior chamber after trabeculectomy.Methods Eighty cases ( 94 eyes ) of primary glaucoma were divided into 2 groups at random . There were 40 cases ( 48 eyes ) in group A , adopting trabeculectomy with paracentesis during operation and injecting BSS into anterior chamber after operation to promote the forming of anterior chamber, and in group B there were 40 cases (46 eyes ), adopting trabeculectomy with no paracentesis , to make the forming of anterior chamber naturally . After operation the anterior chamber the filtering bleb and the intraocular pressure were observed carefully .Results The incidence of shallow anterior chamberin group A after operation was 8.3% and in group B was 34.9% . There was a significant difference between two groups P <0.01) .Conclusion Paracentesis is a safe , simple , effective way in preventing the forming of shallow anterior chamber after trabeculectomy .

关 键 词：前房穿刺术 预防 小梁切除术 浅前房 术后 青光眼 

分 类 号：R775[医药卫生—眼科] R779.6[医药卫生—临床医学]