前房穿刺、可拆除缝线联合透明质酸钠在小梁切除术中的应用

目的探讨前房穿刺、可拆除缝线联合透明质酸钠对减少小梁切除术后并发症发生的作用。方法对5i例（66眼）原发性闭角型青光跟患者行小梁切除术。观察组27例（35眼）术中应用透明质酸钠、前房穿刺和可拆除缝线技术，对照组24例（31眼）行常规小梁切除术。对术后主要并发症进行比较分析。结果浅前房：观察组5眼（14.28％），对照组14眼（45.16％），两组比较有显著性差异；有效滤过泡形成：观察组30眼（85.71％）.对照组22眼（70.96％），两组比较有显著性差异；虹膜睫状体炎、前房积血、脉络膜脱离等并发症的发生.观察组分别为8眼（22.86％）、2眼（5.71％）、0眼，对照组分别为13眼（41.94％）、8眼（25.81％）、4眼（12.9％），两组比较均有显著性差异。结论在小梁切除术中应用透明质酸钠、前房穿刺和可拆除缝线技术可减少术后浅前房等并发症的发生.提高手术成功率。

Application of paracentesis of anterior chamber, detachable suture combined with sodium hyaluronate in trabeculectomy

Objective To reduce the postoperative complications of trabeculectomy,improve achievement ratio of operation. Methods 51 cases (66 eyes) of primary angle-closure glaucoma were randomly divided into experimental group and control group. 27 cases (35 eyes) of expermental group were treated with the paracentesis of anterior chamber, detachable suture combined with sodium hyaluronate in trabeculectomy. 24 cases(31 eyes)of control group didn't use it in trabeculectomy. The postoperative complications were observed and compared with two groups. Results Shallow anterior chamber:there were 5 eyes(14.28%) in the experimental group after trabeculectomy,while in control group,14 eyes(45.16%) shallow anterior chamber occurred. There were significant differences by statistical analysis. The forming of effective filtering bleb: there were 30 eyes (85.71%) in the experimental group after trabeculectomy,while in control group,22 eyes (70.96%) effective filtering bleb occurred.There were significant differences by statistical analysis. The producing of complications for iridocyclitis, hyphema, detachment of choroid:8 eyes (22.86%), 2 eyes (5.71%), 0 eye (0%) occurred respectivly in the experimental group,while in control group 13 eyes (41.94%), 8 eyes (25.81%), 4 eyes (12.9%) occurred respectivly. There were significant differences by statistical analysis. Conclusion The application of paracentesis of anterior chamber, detachable suture combined with sodium byaluronate in trabeculectomy can decrease the postoperative complications of shallow anterior chamber, and improve the successful rate.