| 复合式与单纯小梁切除术治疗青光眼的临床对比观察 |
| |
| 引用本文： | 黄宝玲,王全志,陈瑞合,赵向阳,张桂. 复合式与单纯小梁切除术治疗青光眼的临床对比观察[J]. 眼科新进展, 2011, 31(9): 875-877 |
| |
| 作者姓名： | 黄宝玲 王全志 陈瑞合 赵向阳 张桂 |
| |
| 作者单位： | 1. 漯河市中心医院眼科,河南省漯河市,462000
2. 新乡医学院第三附属医院病理科, 河南省新乡市,453003 |
| |
| 摘 要： | 目的比较复合式小梁切除术和单纯小梁切除术治疗青光眼的临床疗效。方法将70例(84眼)青光眼患者随机分为2组:复合式小梁切除术组35例(41眼),单纯小梁切除术35例(43眼)。复合式小梁切除术组术中联合应用丝裂霉素C和可调节缝线,其他手术操作步骤与单纯小梁切除术组基本相同。比较分析2组术后前房形成、眼压、滤过泡等情况。结果复合式小梁切除术组2眼(4.88%)在拆除可调节缝线后出现浅前房,单纯小梁切除术组有12眼(27.91%)发生浅前房,2组浅前房发生率差异有统计学意义(P<0.05)。2组患者出院时眼压均控制在21mmHg(1kPa=7.5mmHg)以下;术后6个月时,复合式小梁切除术组眼压<21mmHg共38眼(92.68%),单纯小梁切除术组共29眼(67.44%),2组眼压控制率差异有统计学意义(P<0.05)。2组患者出院时均形成功能性滤过泡;术后6个月时,复合式小梁切除术组37眼(90.24%)形成功能性滤过泡,单纯小梁切除术组30眼(69·77%),2组功能性滤过泡形成率差异有统计学意义(P<0.05)。结论复合式小梁切除术可有效减少术后浅前房的发生,在控制远期眼压和功能性滤过泡形成方面疗效显著,提高了手术成功率。
|
| 关 键 词： | 青光眼 复合式小梁切除术 可调节缝线 |
Clinical comparison of compound and pure trabeculectomy in treatment of glaucoma |
| |
| HUANG Bao-Ling,WANG Quan-Zhi,CHEN Rui-He,ZHAO Xiang-Yang,ZHANG Gui. Clinical comparison of compound and pure trabeculectomy in treatment of glaucoma[J]. Recent Advances in Ophthalmology, 2011, 31(9): 875-877 |
| |
| Authors: | HUANG Bao-Ling WANG Quan-Zhi CHEN Rui-He ZHAO Xiang-Yang ZHANG Gui |
| |
| Affiliation: | HUANG Bao-Ling,WANG Quan-Zhi,CHEN Rui-He,ZHAO Xiang-Yang,ZHANG Gui From the Department of Ophthalmology,Luohe Central Hospital,Luohe 462000,Henan Province,China,Department of Pathology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003 |
| |
| Abstract: | Objective To observe the clinical effect of compound and pure trabeculectomy on glaucoma.Methods Seventy cases(84 eyes) with glaucoma were randomly divided into two groups,compound trabeculectomy group(35 cases,41 eyes) and pure trabeculectomy group(35 cases,43 eyes).The mitomycin C and adjustable sutures were used in compound trabeculectomy,other operations were same as the pure trabeculectomy.The anterior chamber depth,intraocular pressure(IOP) and filtering bleb were compared postoperatively.Results The ... |
| |
| Keywords: | glaucoma compound trabeculectomy adjustable sutures |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
