两种小梁切除术的临床效果分析

目的:单纯应用可调整缝线的小梁切除术与复合式小梁切除术的术后疗效及并发症的比较。方法:原发性开角型青光眼(POAG)或原发性闭角型青光眼(PACG)182例(226眼),其中实验组98例(130眼),对照组84例(96眼),实验组单纯应用可调整缝线的小梁切除术,对照组复合式小梁切除术(采用丝裂霉素C联合可调整缝线的小梁切除术),并对手术疗效,手术并发症进行对照分析。结果:两组术后眼压控制理想,但术后浅前房、低眼压、前房出血的发生率实验组明显低于对照组,差异具有统计学意义(P<0.05)。结论:复合式小梁切除术疗效确切,但术后浅前房、低眼压与前房出血的发生率较高,而单纯应用可调整缝线的小梁切除术不仅疗效确切,且术后浅前房、低眼压与前房出血的发生率明显降低。

Clinical effect comparison of two kinds of glaucoma trabeculectomise

AIM: To compare the postoperative curative effect and the complication incidence of simple adjustable sutured trabeculectomy and compound trabeculectomy. ·METHODS: Totally 182 cases (226 eyes) with primary open angle glaucoma (POAG) or primary angle-closure glaucoma (PACG) were divided into experimental group (130 eyes of 98 cases) and control group (96 eyes of 84 cases). Simple adjustable sutured trabeculectomy was applicated on eyes in experimental group, and eyes in control group were given compound trabe-culectomy (mitomycin C + adjustable sutured trabe-culectomy). The curative effect and complication in-cidence were compared postoperatively.·RESULTS: Postoperatively IOPs were similar in two group, but the incidences of shallow anterior chamber, hypotony and hyphema in experimental group were obviously lower than those of control group, which had statistical significance (P<0.05).·CONCLUSION: Compound trabeculectomy is charac-terized by obvious curative effect, and higher incidences of shallow anterior chamber, hypotony and hyphema. However, simple adjustable sutured trabecu-lectomy is featured not only definite therapeutic effect, but also lower incidences of those complications.