复合式小梁切除术治疗青光眼的疗效探讨  

Efficacy of compound trabeculectomy in the treatment of glaucoma

作　　者：赵晓华[1] 

机构地区：[1]郑州大学第四附属医院眼科,河南省郑州450000

出　　处：《中国基层医药》2016年第9期1371-1374,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的研究复合式小梁切除术治疗青光眼患者的临床疗效。方法选择青光眼患者80例为研究对象，依据数字表法随机分为两组，对照组与治疗组每组40例，分别采取传统小梁切除术、复合式小梁切除术。分析比较两组浅前房发生情况、眼压、1年后功能性滤泡形成情况。结果治疗组浅前房发生率（6．98％）低于对照组（23．81％）；治疗组术后6个月、术后12个月的眼压低于对照组，且低于21mmHg；治疗组1年后功能性滤泡形成率（90．70％）高于对照组（71．43％），两组差异有统计学意义（X2=5．16，P〈0．05）。结论在对青光眼患者进行治疗的过程中，复合式小梁切除术的应用效果显著，适合普及使用。Objective To research the clinical effect of complex trabeculectomy in the treatment of glaucoma.Methods 80 patients with glaucoma were selected in the study. They were randomly divided into two groups.40 patients in the control group were given traditional trabeculectomy technique, and 40 patients in the treatment groupwere given composite trabeculectomy. The incidence of shallow anterior chamber, intraocular pressure, one year afterthe formation of a functional follicles were analyzed and compared in the two groups. Results The incidence rate ofshallow anterior chamber in the treatment group （ 6. 98%） was lower than the control group（ 23. 81%） . 6 months,12 months after operation, the IOP of the treatment group was lower than the control group, and less than 21mmHg.After 1 year, the formation rate of functional follicles of the treatment group （ 90. 70%） was higher than the controlgroup （ 71. 43%） , the difference between the two groups was significant（ χ 2 = 5. 16, P 〈 0. 05） . Conclusion Thetreatment effect of composite trabeculectomy for glaucoma is significant.

关 键 词：青光眼 显微外科 治疗 

分 类 号：R779.6[医药卫生—眼科]