影响原发性闭角型青光眼手术疗效危险因素分析  

Study on risk factors influencing the surgical efficacy of primary angle-closure glaucoma patients

作　　者：朱洁[1] 郑洁[1] 汪永[1] ZHU Jie;ZHENG Jie;WANG Yong(Department of Ophthalmology,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学第一附属医院眼科,安徽合肥230032

出　　处：《中华疾病控制杂志》2018年第8期837-839,共3页Chinese Journal of Disease Control & Prevention

基　　金：安徽省自然科学基金(1408085MH158)

摘　　要：目的探讨原发性闭角型青光眼患者实施手术后疗效及其影响疗效危险因素。方法收集某医院2013年7月~2017年10月原发性闭角型青光眼患者225眼,对其进行手术疗效比较分析。结果原发性闭角型青光眼不同前房深度的手术疗效存在差异(x_(趋势)~2=5.452,P=0.020);巩膜下巩膜咬切和小梁切除术的完全成功率差异有统计学意义(x^2=4.040,P=0.044);原发性闭角型青光眼是否合并糖尿病的患者手术疗效也存在明显差异(x^2=4.080,P=0.043);多因素Logistic回归分析发现巩膜咬切方式和浅前房是影响原发性闭角型青光眼手术疗效的危险因素。结论巩膜咬切方式和浅前房是影响原发性闭角型青光眼手术疗效的危险因素。Objective To investigate the efficacy and its risk factors of surgery for primary angle-closure glaucoma patients. Methods A total of 225 eyes of primary angle-closure glaucoma patients were collected from July 2013 to October 2017 in our hospital for observation and analysis. Results Anterior chamber depth in primary angle-closure glaucoma affected the its surgical efficacy（ xtrend^2= 5. 452,P=0.020）. There was a statistically significant difference between the total success rate of scleral sclerectomy and trabeculectomyds（ x^2= 4.040,P=0.044）. The surgical efficacy in patients of primary angle-closure glaucoma complicated with diabetes was reduced compared with patients without diabetes（ x^2=4. 080,P =0.043）. Multivariate Logistic regression analysis revealed that two different surgical methods and shallow anterior chambers were risk factors influencing the surgical efficacy of primary angle-closure glaucoma patients. Conclusions Different surgical methods and shallow anterior chambers are risk factors influencing the surgical efficacy of primary angleclosure glaucoma.

关 键 词：青光眼 手术 治疗效果 危险因素 

分 类 号：R775[医药卫生—眼科]