巩膜瓣不同缝合法在小梁切除术中的应用分析

目的探讨巩膜瓣不同缝合法在小梁切除术中的应用效果。方法选择114例于2011年5月~2012年5月来笔者医院治疗的青光眼患者作为本研究的研究对象,患者年龄36~72岁。将114例患者随机分为观察组和对照组。观察组采取L形单针缝合法对本组所有患者巩膜瓣进行缝合;对照组采取矩形两针缝合法对58例患者巩膜瓣进行缝合。结果术后1个月,观察组患者术后眼压和对照组相比差异有统计学意义(P<0.05);患者术后前两周,观察组前房情况差于对照组,但差异无统计学意义(P>0.05);术后6个月时观察组患者滤过泡形成明显优于对照组(P<0.01)。观察组患者术后1天眼压要明显低于对照组(P<0.01),观察组患者术后2周眼压要明显低于对照组(P<0.01),观察组患者术后1个月眼压要明显低于对照组(P<0.01);观察组患者术后3个月眼压要低于对照组(P<0.05)。结论 L形巩膜瓣单针缝合术在眼压水平控制和滤过泡形成方面显著优于两针缝合方法。

Application of Different Suture of Scleral Flap in Trabeculectomy

Objective To research the application of scleral flap suture in trabeculectomy. Methods A total of 114 primary angle closure glaucoma patients, aged from 36 years to 72 years, were selected as the objects, and randomly divided into the research group and the control group. The two groups received different administration methods. Fifty-six patients in the research group accepted L single needle stitching on sclera flap suture. Fifty-eight patients in the control group accepted rectangular two needle stitching on sclera flap suture. Results There was statical differences between postoperative intraocular pressure of the patients in the observation group and the control group after one month(P<0.05). There was no statical differences between incidence of shallow anterior chamber of the patients in the observation group and the control group postoperatively first 2 weeks(P>0.05). After 6 months,filtering bleb formation in patients was significantly better than control group (P<0.01).One day postoperatively intraocular pressure in patients was significantly lower than control group (P<0.01).Two weeks postoperatively intraocular pressure in patients was significantly lower than control group (P<0.01).One month postoperatively intraocular pressure in patients was significantly lower than control group (P<0.01).Intraocular pressure postoperative in patients was lower than the control group (P<0.05). Conclusion Although L sclera flap of single needle stitching method has a higher incidence of short postoperative shallow anterior chamber, its role in the controling intraocular pressure and filtering bleb formation is significantly superior to the two needle stitching method. It is worthy of clinical application and widely avail.