调整缝线及丝裂霉素的联合应用在小梁切除术中临床研究  

Clinical study of the combined application of adjusting suture lines and applying mitomycin in trabecula resection

作　　者：马胜生[1] 梁纳[1] 丁小玲[1] 林翎[1] 

机构地区：[1]广州市红十字会医院,暨南大学医学院第四附属医院眼科,510220

出　　处：《广州医药》2003年第4期12-13,共2页Guangzhou Medical Journal

摘　　要：目的 :探讨提高青光眼手术成功、减少并发症的方法。方法 :用MMC溶液浸泡后的棉片覆盖于结膜瓣下维持 5min ,行常规小梁切除术 ,用 10 0尼龙线缝合浅层巩膜瓣 4针 ,其中腰部两针为可调整缝线 ,线结引致上方近角巩缘的角膜表面作密闭缝合。结果 :本组 38例中 ,功能型滤过泡占 92 11% ,非功能型滤过泡占 7 89%。眼压的变化 ,术后 6个月～ 2年眼压为 2 31～ 1 14kPa。术后并发症明显减少。结论 :该方法不仅提高了抗青光眼手术的效果 。Objective: By applying suture lines adjustment and mitomycin C to the regular operation no glaucoma, increase the rate of success, and prevent the complication. Methods: In the operation on glaucoma, put the cotton piece, which has been soaked in MMC solution, under the conjunctival flap for 5 minutes. While suturing the conjunctival flap, the superficial layer of conjunctival flap was sutured with 10-0 nylon wire for 4 stitches. The two stitches sutured in middle is adjustable, that is pulling the knots up to the surface of comea, which is close to sclera, and conducting closed suturing. Results: In 38 operations conducted with this method, functional filtration bubbles account for 92.11%, and non-functional filtration bubbles account for 7.89%. During the time of six months to two years, intraocular pressure is between 2.31 kPa to 1.14 kPa. Postoperative complications are greatly prevented. Conclusion: With the application of this approach, the effect of anti-glaucoma operation has been significantly increased, and the complications have been greatly reduced.

关 键 词：青光眼 小梁切除术 瘢痕 丝裂霉素 缝线 

分 类 号：R779.6[医药卫生—眼科]