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作 者:史夫艳 SHI Fuyan(Department of Ophthalmology,Linyi Eye Hospital,Huaxia Eye Hospital Group,Linyi 276000,Shandong,China)
机构地区:[1]华厦眼科医院集团临沂眼科医院眼科,山东临沂276000
出 处:《系统医学》2025年第3期44-47,共4页Systems Medicine
摘 要:目的分析改良巩膜隧道青光眼阀植入术治疗难治性青光眼患者的临床效果。方法非随机选取2022年11月—2023年11月华厦眼科医院集团临沂眼科医院眼科收治的80例难治性青光眼患者为研究对象。按手术方式差异分为两组,每组40例患者。对照组接受常规巩膜隧道手术治疗,观察组接受改良巩膜隧道青光眼阀植入术治疗。比较两组术后并发症发生率、眼压、前房深度、视力及治疗总有效率。结果与对照组相比,观察组术后并发症发生率较低,差异有统计学意义(P<0.05)。观察组眼压、前房深度以及视力较优,差异有统计学意义(P均<0.05)。与对照组的80.00%(32/40)相比,观察组总有效率97.50%(39/40)较高,差异有统计学意义(χ^(2)=4.507,P<0.05)。结论难治性青光眼患者采用改良的巩膜隧道阀植入术进行治疗,可获得良好的治疗效果,降低患者术后并发症发生率,提高视力。Objective To analyze the clinical outcomes of modified scleral tunnel glaucoma valve implantation for the treatment of patients with refractory glaucoma.Methods Eighty cases of refractory glaucoma patients admitted to the Department of Ophthalmology of Linyi Eye Hospital,Huaxia Eye Hospital Group from November 2022 to November 2023 were non-randomly selected as study subjects.They were divided into two groups according to different surgical styles,with forty cases in each group.The control group was treated with conventional scleral tunnel surgery,and the observation group was treated with modified scleral tunnel glaucoma valve implantation.The postoperative complication rate,intraocular pressure,anterior chamber depth,visual acuity and total effective rate of treatment were compared between the two groups.Results Compared with the control group,the observation group had a lower incidence of postoperative complications,and the difference was statistically significant(P<0.05).The intraocular pressure,anterior chamber depth and visual acuity in the observation group were all better,and the differences were statistically significant(all P<0.05).Compared with 80.00%(32/40)of the control group,the total effective rate of the observation group 97.50%(39/40)was higher,and the difference was statistically significant(χ^(2)=4.507,P<0.05).Conclusion Patients with refractory glaucoma are treated with modified scleral tunnel valve implantation,the result is favorable outcomes,reduces the incidence of postoperative complications in patients,and improves visual acuity.
关 键 词:难治性青光眼 改良巩膜隧道青光眼阀植入术 效果分析
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