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黏弹物质小管切开术治疗原发性开角型青光眼的临床研究
引用本文:黎海平,郝小波,唐勇华,林柳燕,钟舒阳,宋艳. 黏弹物质小管切开术治疗原发性开角型青光眼的临床研究[J]. 微创医学, 2011, 6(5): 394-396
作者姓名:黎海平  郝小波  唐勇华  林柳燕  钟舒阳  宋艳
作者单位:广西中医学院第一附属医院眼科,南宁市,530023
基金项目:广西卫生厅重点科研课题
摘    要:目的观察黏弹物质小管切开术(VCO)治疗原发性开角型青光眼(POAG)的临床效果。方法对原发性开角型青光眼30眼采用黏弹物质小管切开术治疗,30眼行传统小梁切除术(TE)治疗。观察两组患眼手术前后的眼压、视力及术中、术后并发症。结果术后随访2~12个月,黏弹物质小管切开术组视力无1例下降,平均眼压由术前43.15 mmHg改善为出院时11.20 mmHg,无任何严重并发症发生。传统小梁切除术组视力下降5例,平均眼压由术前42.77 mmHg改善为出院时11.50 mmHg。术中前房出血4例;术后浅前房5例,脉络膜脱离1例,两组术中、术后并发症比较有显著性意义(P<0.01)。结论黏弹物质小管切开术能很好地降低原发性开角型青光眼病人的眼压,术中、术后并发症少,是治疗原发性开角型青光眼安全而有效的手术方法,可推广应用。

关 键 词:原发性开角型青光眼  黏弹物质小管切开术  眼压  视力  并发症

Clinical research on viscocanalostomy in the treatment of primary open-angle glaucoma
LI Hai-ping,HAO Xiao-bo,TANG Yong-hua,LIN Liu-yan,ZHONG Shu-yang,SONG Yan. Clinical research on viscocanalostomy in the treatment of primary open-angle glaucoma[J]. Minimally Invasive Medicine Journal, 2011, 6(5): 394-396
Authors:LI Hai-ping  HAO Xiao-bo  TANG Yong-hua  LIN Liu-yan  ZHONG Shu-yang  SONG Yan
Affiliation:LI Hai-ping,HAO Xiao-bo,TANG Yong-hua,LIN Liu-yan,ZHONG Shu-yang,SONG Yan(Department of Opthalmology,The First Affiliated Hospital of Guangxi Traditional Chinese Medicine University,Nanning 530023,China)
Abstract:Objective To investigate the clinical effect of viscocanalostomy(VCO) in the treatment of primary open-angle glaucoma.Methods Thirty eyes of primary open-angle glaucoma received VCO,and thirty eyes received trabeculectomy(TE).Intraocular tension,visual acuity,and complication of intro-and post-operation were observed in two groups.Results Patients were followed up for 2 to 12 months after surgery.Visual acuity decreased in none,average intraocular tension improved from 43.15 mmHg of pre-operation to 11.20 m...
Keywords:Primary open-angle glaucoma  Viscocanalostomy  Intraocular tension  Visual acuity  Complication  
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