微导管辅助小梁切开术治疗青少年开角型青光眼  

Microcatheter-assisted trabeculotomy for the treatment of juvenile open angle glaucoma

作　　者：王博 安雪梅[2] 王怀洲 Wang Bo;An Xuemei;Wang Huaizhou(The Affiliated Eye Hospital of Chengdu University of T.C.M.,Ineye Hospital of Chengdu University of TCM,Chengdu 610081,China;The Affiliated Hospital of Chengdu University of TCM,Sichuan Province Hospital of TCM,Chengdu 610072,China;Beijing Tongren Hospital,Capital Medical University,Beijing Ophthalmology&Visual Science Key Lab y Beijing 100730,China)

机构地区：[1]成都中医药大学附属眼科医院成都中医大银海眼科医院,成都610081 [2]成都中医药大学附属医院四川省中医院,成都610072 [3]首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室,100730

出　　处：《中华眼外伤职业眼病杂志》2019年第10期726-730,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评估微导管辅助小梁切开术治疗青少年型开角型青光眼的效果.方法同顾性队列研究.对2017年4月至2018年5月成都中医药大学附属眼科医院微导管辅助小梁切开术治疗的原发性青少年开角型青光眼15例(20只眼)的临床资料进行分析.结果术前眼压为(33.55±10.73)mmHg(1 mmHg=0.133 kPa),术后随访(6.90±3.55)个月降至(15.55±3.88)mmHg(t=9.320,P=0.000);术前使用降眼压药(3.25±0.55)种,末次随访降到(0.80±1.32)种(Z=-3.750,P=0.001).末次随访完全成功率70.00%(14/20),条件成功率90.00%(18/20).术中及术后均无严重并发症发生.结论微导管辅助小梁切开术治疗青少年型开角型青光眼安全有效.Objective To evaluate the efficacy of microcatheter-assisted trabeculotomy for the treatment of juvenile open angle glaucoma(JOAG).Methods Retrospective case cohort series study.Clinical datas of 20 eyes of 15 cases with JOAG treated with microcatheter-assisted trabeculotomy from Apr.2017 to May 2018 at Eye Hospital Affiliated to Chengdu University of T.C.M.were collected and analysed.Results The pre-operative IOP was(33.55±10.73)mmHg(1 mmHg=0.133 kPa).The post-operative IOP decreased to(15.55±3.88)mmHg at last follow-up,and the difference was statistically significant between before and after surgery(t=9.320,P=0.000).The kinds of anti-glaucoma drugs used before surgery were 3.25±0.55 and at the last follow-up decreased to 0.80±1.32(Z=-3.750,P=0.001).The full success rate of the last follow-up was 70.00%(14/20)and conditional success rate was 90.00%(18/20).No severe complication occurred intraoperative and psotoperative.Conclusion Microcatheter-assisted trabeculotomy is a safe and effective for the treatment of JOAG.

关 键 词：青光眼 开角型 青少年型 小梁切开术 微导管辅助 眼压 

分 类 号：R47[医药卫生—护理学]