原发性急性闭角型青光眼患者持续高眼压状态下行复合式小梁切除术疗效分析  

Effect of compound trabeculectomy on acute primary angle closure glaucoma under continuous high intraocular pressure state

作　　者：刘艳艳[1,2] 余涵[1] 

机构地区：[1]新乡医学院第三临床学院,河南新乡453003 [2]汝州市第一人民医院眼科,河南汝州467500

出　　处：《新乡医学院学报》2015年第2期160-162,共3页Journal of Xinxiang Medical University

摘　　要：目的探讨原发性急性闭角型青光眼(APACG)持续高眼压状态下行复合式小梁切除术的安全性和临床疗效。方法回顾性分析2011年3月至2013年3月在汝州市第一人民医院眼科住院的APACG患者的临床资料,按术前眼压情况分为观察组(25例25眼,眼压≥28 mm Hg,1 mm Hg=0.133 k Pa)和对照组(28例30眼,眼压≤21 mm Hg),对2组患者手术前后的视力、眼压、前房深度(ACD)、眼轴长度(AL)、视野及手术并发症和手术成功率进行比较。结果 2组患者术后视力与术前比较差异无统计学意义(P>0.05),术后眼压、ACD、AL与术前比较差异有统计学意义(P<0.05)。2组患者术后各时间点视力、眼压、ACD、AL组内比较差异均无统计学意义(P>0.05)。手术后2组患者视力比较差异有统计学意义(P<0.05),但眼压、ACD、AL比较差异无统计学意义(P>0.05)。观察组患者并发症发生率高于对照组(P<0.05),2组患者并发症给予对症处理后均缓解。结论 APACG患者持续高眼压状态下行复合式小梁切除术安全、有效。Objective To study the safety and clinical curative effect of compound trabeculectomy for acute primary angle closure glaucoma（ APACG） under continuous high intraocular pressure. Methods The clinical data of APACG patients who hospitalized in Department of Ophthalmology,the First People＇s Hospital of Ruzhou City from March 2011 to March 2013 were analyzed retrospectively. All patients were divided into observation group（ 25 patients,25 eyes,intraocular pressure ≥28 mm Hg,1 mm Hg = 0. 133 k Pa） and control group（ 28 patients,30 eyes,intraocular pressure ≤21 mm Hg） according to the intraocular pressure preoperative. The visual acuity,intraocular pressure,anterior chamber depth（ ACD）,axial length（ AL）,complication and successful rate of operation were compared before and after operation between the two groups. Results There was no statistic difference in visual acuity before and after operation in the two groups（ P 〉0. 05）; there were statistic differences in intraocular pressure,ACD and AL before and after operation in the two groups（ P〈0. 05）. There was no statistic difference in visual acuity,intraocular pressure,ACD and AL among different time point after operation in the two groups（ P 〉0. 05）. There was statistic difference in visual acuity between the two groups after operation（ P〈0. 05）; but there was no statistic difference in intraocular pressure,ACD and AL between the two groups（ P〉 0. 05）. The incidence of complication in observaton group was significantly higher than that in control group（ P〈0. 05）. The complications of patients in the two group were relieved after giving symptomatic treatment. Conclusion APACG downward with persistent high intraocular pressure state combined trabeculectomy is safe and effective.

关 键 词：复合式小梁切除术 持续性高眼压 青光眼 

分 类 号：R775[医药卫生—眼科]