小梁切除术中应用可调节缝线对术后眼压影响观察  

The observation of intraocular pressure of post-operation using adjustable sutures in trabeculectomy

作　　者：刘辉[1] 肖静[1] 刘蕊[1] 

机构地区：[1]淮南市东方医院集团眼科医院,安徽省232046

出　　处：《中国实用眼科杂志》2016年第9期962-964,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨小梁切除术中应用可调节缝线对术后眼压的影响。方法临床病例对照研究。对2008年3月至2013年11月在东方医院集团眼科医院诊治的慢性闭角型青光眼分为两组。A组26只眼接受小梁切除术，B组26只眼接受小梁切除术＋可调节缝线。对两组的眼压，手术成功率等进行对照研究。结果（1）浅前房：A组8只眼发生浅前房，发生率为：30.8%（8/26）。B组2只眼浅前房，发生率为：7.7%（2/26）。经χ^2检验分析，两组浅前房发生率上的差异有统计学意义（χ^2=4.45，P=0.035 〈0.05）。（2）术后眼压：术后3天至2月，A组眼压为（11.46±3.11）mmHg至（16.19±3.23）mmHg。B组眼压为（16.46±3.73）mmHg至（20.23±4.30）mmHg，经重复测量资料的方差分析，两组和时间的交互作用差异有统计学意义（F=6.75，P=0.006 〈0.01），两组降眼压差异具有统计学意义（F=11.89，P =0.001 〈0.01）。（3）手术成功率：术后2月A组手术成功率为92.3%（24/26），B组手术成功率为65.4%（17/26）。经χ^2检验分析，两组手术成功率的差异有统计学意义（χ^2=5.65，P =0.017 〈0.05）。结论虽然可调节缝线在一定程度上降低了术后浅前房的发生率，但如果不针对具体病例选择性的应用，可以造成术后眼压控制不良。Objective To evaluate the observation of intraocular pressure of post-operation using adjustable sutures in trabeculectomy. Methods A case-control study. A total of 52 cases （52 eyes） of chronic angle-closure glaucoma patients were observed. Twenty six eyes underwent trabeculectomy （Group A） and using adjustable sutures trabeculectomy （Group B）, respectively. Intraocular pressure （IOP）, and achievement ratio of operation were observed for two months. SPSS 19.0 was used for data analysis, P 〈0.05 was considered statistically significant. Results Eight and 2 eyes of shallow anterior chamber occurred in group A and group B, respectively. The incidence rate of group A and group B was 30.8% and 7.7% respectively. Analyzed by chi-sqnare test, the difference of incidence rate of shallow anterior chamber between these two groups was considered statistically significant （χ^2=4.45, P =0.035〈0.05）. After operation, the IOP in group A were from （11.46±3.11）mmHg to （16.19±3.23）mmHg, the IOP in group B were from （16.46±3.73）mmHg to （20.23±4.30）mmHg. By repeated measures ANOVA, the difference of interaction between group and time was considered statistically significant （F =6.75, P 〈0.01）, and the difference of intraocular pressure of post-operation between these two groups was considered statistically significant （F =11.89, P 〈0.01）. The successful rate of group A and group B was 92.3% and 65.4%, respectively. Analyzed by chi-square test, the difference of successful rate between these two groups was considered statistically significant （χ^2=5.65, P 〈0.05）. Conclusions Although adjustable sutures effectively reduces incidence rate of shallow anterior chamber, but it affects IOP control if didn＇t choose the right patient.

关 键 词：青光眼 小梁切除术 可调节缝线 术后眼压 

分 类 号：R776.06[医药卫生—眼科]