复合式小梁切除术治疗原发性青光眼的疗效观察

目的 探讨复合式小梁切除术(trabeculectomy)在治疗原发性青光眼(primary glaucoma,PG)中的临床效果.方法 将188例(208眼)已确诊的原发性闭角型青光眼(primary ange-closureglaucoma,PACG)及开角型青光眼(rimary open angle glaucoma,POAG)分为两组.对照组85例(95眼)采用常规小梁切除术治疗,观察组103例(113眼)采用复合式小梁切除术治疗.比较两组的临床效果.结果 观察组术后24周浅前房发生率、眼压控制率、功能性滤过泡及手术成功率与对照组比较,差异均有统计学意义(P＜0.05).结论 复合式小梁切除术治疗原发性青光眼,具有术中创伤小、降眼压作用明显、并发症少、安全性高等优点,前房和功能性滤过泡形成理想,眼压控制好,视力满意,有效提高了患者的生活质量.

Curative effect observation of compound trabeculectomy in the treatment of primary glaucoma

Objective To investigate the clinical curative effect of compound trabeculectomy in the treatment of primary glaucoma (PG).Methods 188 patients (208 eyes) who had been diagnosed with primary open-angle glaucoma (POAG) or primary angle-closure glaucoma (PACG) were divided into two groups.85 cases (95 eyes) in control group underwent conventional trabeculectomy,while 103 cases (113 eyes) in observation group underwent compound trabeculectomy.And the clinical results of two groups were compared.Results There were statistically significant differences in the incidence of shallow anterior chamber,the rate of intraocular pressure under control,functional blebs,and the success rate between observation group and control group 24 weeks after surgery (P＜0.05).Conclusions Compound trabeculectomy in the treatment of primary glaucoma has the advantages of less trauma surgery,more significant IOP reduced,fewer complications,higher safety,etc,the anterior chamber and the functional blebs are formed ideally,the intraocular pressure is under control well,with satisfactory vision,effectively improves the quality of life of patients.