丝裂霉素C联合针刺分离修复失败滤过泡的临床疗效  

The clinical efficacy of mitomycin C combined with acupuncture separation in the repair of failed bleb

作　　者：庄国斌[1] 朱梅红[1] 吴福进[1] 

机构地区：[1]福建医科大学附属泉州市第一医院眼科,福建泉州362000

出　　处：《中国现代医生》2017年第20期61-64,共4页China Modern Doctor

摘　　要：目的探讨丝裂霉素C(mitomycin-C,MMC)联合针刺分离修复失败滤过泡的作用。方法对17例小梁切除术后失败滤过泡行MMC联合针刺分离的患者,通过病历回顾获得所有患者的临床资料,包括性别、年龄、术前诊断、术前和术后眼压、术前和术后视力和手术并发症等。比较术前和术后各个时间点眼压和视力。分析手术的成功率和并发症。结果术前和术后各个时间点眼压差异具有显著统计学意义(P=0.000~0.003)。术前和术后各个时间点视力差异无统计学意义(P>0.05)。滤过泡针刺联合MMC完全成功率为52.9%,部分成功率为35.3%,失败为11.8%。术后无严重并发症。结论 MMC联合针刺分离是处理青光眼失败滤过泡的可行方法。Objective To investigate the effect of mitomycin C （MMC） combined with acupuncture separation in the repair of failed bleb. Methods Clinical data of 17 patients with failed bleb after trabeculectomy who were given MMC combined with acupuncture separation were obtained by the review of medical records, including gender, age, preoperative diagnosis, preoperative and postoperative intraocular pressure, preoperative and postoperative visual acuity and surgical complications. Intraocular pressure and visual acuity at all time points before and after surgery were compared. The success rate and complications of surgery were analyzed. Results There was statistically significant difference in intraocular pressure at all time points before and after the surgery（P=0.000-0.003）. There was no statistically significant difference in visual acuity at all time points before and after the surgery（P〉0.05）. The complete success rate of bleb acupuncture combined with MMC was 52.9%, partial success rate was 35.3%, and failure rate was 11.8%. There were no serious complications after surgery. Conclusion MMC combined with acupuncture separation is a feasible method to deal with glaucoma failed bleb.

关 键 词：青光眼 小梁切除术 滤过泡 针刺修复 丝裂霉素C 

分 类 号：R779.6[医药卫生—眼科]