小梁切除术中巩膜瓣不同缝合法联合丝裂霉素C的临床观察  

Clinical Observation of Different Suture Methods of Scleral Flap in Trabeculectomy Combined with Mitomycin C

作　　者：秦应祥 鄢秀菊 罗莉蓉 夏淋 牟彦 金潇 

机构地区：[1]重庆市第五人民医院眼科,重庆市

出　　处：《眼科学》2016年第4期122-125,共4页Hans Journal of Ophthalmology

摘　　要：目的:探讨小梁切除术中巩膜瓣不同缝合法联合丝裂霉素C的临床应用及术后疗效观察。方法:回顾性分析我院2015年11月~2016年11月收诊的46例(46眼),随机将其分为传统的小梁切除术联合丝裂霉素C (对照组)和巩膜瓣可调节缝线的小梁切除术联合丝裂霉素C (观察组),各23例,对其术后效果进行比较分析。结果:术后浅前房的发生观察组明显低于对照组,术后眼压和术后滤过泡的形态,观察组和对照组没有差异。结论:可调节缝线小梁切除术联合丝裂霉素C只可以减少术后早期浅前房的发生,传统的小梁切除术中只要使用丝裂霉素C就可以取得很好的远期临床疗效,取得很高的远期手术成功率,所以完全没有必要在术中用可调节缝线缝合巩膜瓣。Objective: To observe the clinical application and curative effect of trabeculectomy with different suture methods for scleral flap combined with mitomycin C. Methods: We analyze 46 cases (46 eyes) received by our hospital from November 2015 to November 2016 retrospectively. These cases were randomly divided into two groups: traditional trabecular resection combined with mitomycin C (control group) and trabeculectomy with adjustable sutures for scleral flap combined with mitomycin C (observation group), 23 cases each. The postoperative effect of the two groups was compared and analyzed. Results: The incidence of shallow anterior chamber after operation was significantly lower than that in control group;for intraocular pressure and the shape of filtering bleb after operation, there was no difference between the two groups. Conclusion: Trabeculectomy with adjustable sutures combined with mitomycin C can only reduce the incidence of early postoperative shallow anterior chamber, while traditional trabeculectomy can obtain a good clinical effect and a high success rate for a long term as long as the use of mitomycin C, so there is no need to use adjustable suture to suture scleral flap in the operation.

关 键 词：小梁切除术 丝裂霉素C 巩膜瓣可调缝线 

分 类 号：R77[医药卫生—眼科]