探讨复合式小梁切除术在治疗原发性青光眼中的临床应用效果  

Effect of Combined Trabeculectomy in the Treatment of Primary Glaucoma

作　　者：刘翀[1] 肖启国[1] 费志刚[1] 彭辉灿[1] 袁满红[1] 

机构地区：[1]南华大学附属第二医院眼科,湖南衡阳421001

出　　处：《中南医学科学杂志》2016年第3期309-311,315,共4页Medical Science Journal of Central South China

摘　　要：目的观察复合式小梁切除术在治疗原发性青光眼中的临床应用效果。方法回顾分析本院收治的80例原发性青光眼患者的病历资料,其中选取常规小梁切除术和复合式小梁切除术各40例作为分析对象。常规小梁切除术组对患者采用常规小梁切除术,复合式小梁切除术组对患者采用联合丝裂霉素C及可调节缝线的复合式小梁切除术,对比分析两组原发性青光眼患者的临床疗效。结果和常规小梁切除术组比较,复合式小梁切除术组原发性青光眼患者术后Ⅰ级和Ⅱ级浅前房明显较低,原发性青光眼患者治疗后滤过泡形成情况和眼压控制情况效果较优(P<0.05)。结论原发性青光眼应用复合式小梁切除术治疗,不仅仅可以改善患者浅前房和术后滤过泡的形成情况,同时也能有效控制眼压,有一定的安全性和可行性,值得临床推广应用。Objective To study the clinical effect of combined trabeculectomy in the treatment of primary glaucoma. Methods 80 cases of primary glaucoma patients were divided into normal trabecular resection surgery group and compound trabeculectomy excision group, 40 cases in each group, and received normal trabecular resection operation and adjustable suture composite trabeculectomy combined with mitomycin C ,respectively,which clinical efficacy was comparatively analyzed. Results Compared to the normal trabecular resection surgery group,in the compound trabecutectomy excision group of prima- ry glaucoma patients, the I and II stage shallow anterior chamber was significantly lower, the formation of filtering bleb and the control effect was better （P〈0.05）. Conclusion Primary glaucoma with compound trabeculectomy excision in the treatment, not only can improve the postoperative patients with shallow anterior chamber and filtering bleb formation, but also can effectively control the intraocular pressure,which has certain safety and feasibility and is worthy of clinical application.

关 键 词：复合式小梁切除术 原发性青光眼 治疗 临床应用效果 

分 类 号：R775[医药卫生—眼科]