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作 者:吕建芳[1] 方毅[1] 杨艳蓓 齐颖蔷 党秀红[1]
机构地区:[1]哈尔滨爱尔眼科医院白内障科,黑龙江哈尔滨150076
出 处:《中外医疗》2016年第33期99-100,107,共3页China & Foreign Medical Treatment
摘 要:目的探讨原发性闭角型青光眼患者术后发生恶性青光眼的危险因素。方法方便选取该院2012年6月—2015年12月收治的530例(664眼)原发性闭角型青光眼患者作为研究对象,根据术后是否发生恶性青光眼分为观察组13例(19眼)和对照组517例(645眼),通过A/B超和UBM对患者前房深度、LOWE系数、眼轴长度、晶状体厚度及术前眼压等指标进行检测,分析观察指标与恶性青光眼发生的关联性。结果与对照组相比,观察组患者眼轴(20.97±0.75)mm较短、晶状体(4.27±0.38)mm较薄、术前眼压(35.15±5.31)mm Hg较高,差异有统计学意义(P<0.05);两组前房深度和LOWE系数以及性别和手术方式上差异无统计学意义(P>0.05);在年龄、术前眼压、眼轴长度(χ2=6.32)、前房深度及晶状体厚度上差异有统计学意义(P<0.05)。结论年龄较小、术前眼压高、眼轴较短、前房厚度较浅及晶状体较薄的原发性闭角型青光眼术后易发生恶性青光眼。Objective To explore the risk factors of malignant glaucoma occurrence after filtration surgery for primary glaucoma. Methods Convenient selection our hospital were treated 530 cases(664 eyes) of primary angle-closure glaucoma patients as research subjects in June 2012- December 2015, according to the occurrence of malignant glaucoma after surgery is divided into observation group of 13 cases(19 eyes) and control group of 517 cases(645 eyes), A/B ultrasound and UBM were used to detect anterior chamber thickness、LOWE coefficient、axis length、lens thickness and preoperative IOP, correlation analysis observed indicators of malignant glaucoma. Results Compared with the control group, the observation group of patients with ocular axis(20.97 ± 0.75)mm, short lens(4.27 ± 0.38)mm thinner, preoperative intraocular pressure(35.15 ±5.31)mm Hg is higher, the difference was statistically significant(P 0.05); two groups of anterior chamber depth and LOWE coefficient as well as the sex and type of surgery without statistical difference significance(P 0.05); in the age,preoperative intraocular pressure and ocular axial length(χ2=6.32), there was statistical significance between anterior chamber depth and lens thickness(P 〈0.05). Conclusion The patients with primary angle closure glaucoma were prone to malignant glaucoma after the operation of the primary angle closure glaucoma with small age, high intraocular pressure, short axial length, anterior thickness and thin lens.
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