非穿透性小梁手术治疗青少年型青光眼的临床疗效探讨  

Clinical Effect of Non-penetrating Trabecular Surgery for Treatment of Juvenile Glaucoma

作　　者：邓朝生 

机构地区：[1]广东省徐闻县人民医院,广东徐闻524100

出　　处：《黑龙江医学》2015年第7期779-781,共3页Heilongjiang Medical Journal

摘　　要：目的 分析探讨非穿透性小梁手术、小梁切除术治疗青少年型青光眼的临床疗效及并发症发生率。方法 选择本院2010-04-2014-06间收治的50例（100眼）青少年型青光眼患者作为研究对象。同一患者1眼进行非穿透性小梁手术,另1眼进行小梁切除术,对比分析术后患者两眼的眼压、视野、滤过泡、房角以及视力情况。并做前房角镜检查,患者术后平均随访时间为2-12个月。结果 分别采用非穿透性小梁手术、小梁切除术治疗青少年型青光眼后,两组的眼压、房角、视力的长期情况无显著性差异,但是非穿透性小梁手术治疗后的并发症相对较少,安全性高。结论 非穿透性小梁手术能够有效治疗青少年型青光眼,其临床疗效显著,并发症发生率低,安全性好,是治疗青少年型青光眼的有效方法之一,值得进一步推广使用。Objective To analyze and compare the efficacy and complications between non- penetrating filtering surgery with（ NPFS- MMC） and trabeculectomy in the treatment of juvenile glaucoma. Methods 50 cases（ 100 eyes） with juvenile glaucoma were treated accepted by the hospital from April,2010 to June,2014. One eye was treated with non- penetrating filtering surgery（ observation group）,and the other one was treated by trabeculectomy（ control group）. IOP,view,filtering bled,angle and view condition of patients after operation were analyzed. Gonioscopy was done. Patients were followed up by 2 - 12 months. Results There were no statistically significant differences in two groups,but the observation group had fewer complications compared with control group. Conclusion The clinical effect of juvenile glaucoma treated by non- penetrating filtering surgery is significant,with less complications and good safety. So it is one of the effective methods of treating juvenile glaucoma.

关 键 词：青少年型青光眼 非穿透性小梁手术 小梁切除术 临床疗效 

分 类 号：R779.6[医药卫生—眼科]