小梁切除术联合脉络膜上腔引流术治疗原发性开角型青光眼患者的效果观察  

Effect Observation of Trabeculectomy with Suprachoraidal Drainage in the Treatment of Primary Open Angle Glaucoma

作　　者：张采华[1] 曾敦征[1] 汤畴旺[1] 郑上椿[1] 

机构地区：[1]三明市第二医院福建中医药大学第五临床学院,福建永安366000

出　　处：《中外医学研究》2016年第30期14-16,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较小梁切除术联合脉络膜上腔引流术与小梁切除术联合丝裂霉素C(Mitomycin-C,MMC)对原发性开角型青光眼的疗效,以期了解小梁切除术联合脉络膜上腔引流术治疗原发性开角型青光眼患者的优缺点,并做出评价。方法:采用回顾性病例对照研究,将2010年1月-2015年12月在笔者所在医院接受手术治疗的原发性开角型青光眼患者按术式的不同分为两组,其中,小梁切除术联合脉络膜上腔引流术组(A组)30例(40眼),青光眼小梁切除术联合丝裂霉素C组(B组)30例(40眼),将两组治疗后的眼压及浅前房、角膜上皮损害等发生情况进行比较。结果:A组术后浅前房、角膜上皮损伤眼数少于B组,前房正常眼数多于B组,差异均有统计学意义(P<0.05)。两组术后1周、1个月、3个月眼压比较差异均无统计学意义(P>0.05)。结论:在治疗原发性开角型青光眼患者中,小梁切除术联合脉络膜上腔引流术比小梁切除联合丝裂霉素C有较大的优越性。Objective： To compare the efficacy of traheculectomy with suprachoraidal drainage and trabeculectomy with Mitomycin-C（MMC） for primary open angle glaucoma（POAG） patients, and to find the advantages and disadvantages of the trabeeulectmny with suprachoraidal drainage in treatment of POAG patients, and to make evaluations.Method： A retrospective case-control study was used, the POAG patients with surgical treatment for POAG in our hospital from January 2010 to December 2015 were selected.They were divided into two groups according to different surgical procedures, in which trabeculectomy with suprachoraidal drainage group（group A） had 30 patients（40 eyes）, glaucoma surgery trabeculectomy with mitomyein-C group（group B） had 30 patients（40 eyes）. the intraocular pressure（IOP）, shallow anterior chamber occurred after treatmenl and the corneal epithelium damage situation were compared between the two groups.Result： The incidence of corneal epithelial damage and shallow anterior in group A were less than those in group B, the number of normal eyes in group A was larger than that in group B, the differences were statistically significant（P〈0.05）.The intraocular pressure of postoperative 1 week, 1 month and 3 months had no statistically significant differences（P〉0.05）.Conelusion： For primary open angle glaucoma（POAG） patients, the treatment of trabeculectomy with suprachoraidal drainage has a greater advantage than trabeculeetomy with Mitomycin-C.

关 键 词：青光眼 小梁切除术 脉络膜上腔引流术 丝裂霉素C 

分 类 号：R779.6[医药卫生—眼科]