非穿透小梁切除透明质酸钠凝胶植入术治疗开角型青光眼疗效观察  

The clinical observation of NPTS with reticulated sodium hyaluronate implantation for treatment of POAG

作　　者：董仰曾[1] 种平[1] 李润婷[1] 

机构地区：[1]河南省眼科研究所,郑州450003

出　　处：《眼科研究》2002年第5期459-461,共3页Chinese Ophthalmic Research

摘　　要：目的　观察非穿透小梁切除术 (NPTS)联合透明质酸钠凝胶植入术治疗开角型青光眼的疗效。方法　对 9例 ( 10眼 )开角型青光眼施行非穿透小梁切除术 ,术中植入透明质酸钠凝胶。观察手术前后视力、眼压及手术并发症 ,并行超生生物显微镜 (BUN)观察。结果　 10眼术后眼压均得到控制。术前眼压最低 2 4 38mmHg ,最高 6 1 75mmHg ,平均( 39 4 5± 11 98)mmHg。术后 5天拆线时眼压最低测不出 ,最高 7 10mmHg。 1个月后复查 ,眼压最低 4 85mmHg ,最高2 0 5 5mmHg ,平均 ( 14 18± 4 2 6 )mmHg。手术前后眼压对比有非常显著性差异 (t =8 0 2 6 ,P <0 0 1)。术后 6个月、8个月各有 1眼眼压升高 ,加用一种抗青光眼药物治疗后眼压即恢复正常。与术前需用 1～ 3种降眼压药物相比 ,有非常显著性差异 (t=6 5 30 ,P <0 0 1)。视力较术前提高。患者术后均无明显的前房炎症反应、浅前房以及脉络膜脱离等并发症。结论　非穿透小梁切除透明质酸钠凝胶植入术是治疗开角型青光眼的有效方法。其最大特点是手术不穿透前房 ,术后视力迅速恢复 ,并发症极少。ObjectiveTo evaluate the clinical effect of non-penetrating trabecular surgery(NPTS) with reticulated sodium hyaluronate implantation for treatment of primary open-angle glaucoma (POAG).MethodsNPTS with reticulated sodium hyaluronate implantation was performed on 10 eyes of 9 cases with POAG.The preoperative and postoperative vision,intraocular pressure and postoperative complication were observed.ResultsPatient’s postoperative IOP was controlled.Postoperative vision recovered quickly.Less complications were seen.ConclusionNPTS with reticulated sodium hyaluronate implantation is an effective method for the treatment of POAG.Operative complication is less.

关 键 词：疗效 治疗 非穿透小梁切除术 透明质酸钠凝胶 开角型青光眼 NPTS 

分 类 号：R779.6[医药卫生—眼科]