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可拆除缝线在原发性闭角型青光眼滤过术的应用
引用本文:王瑞,孟海林,常新琦,何颜清,马锦霞. 可拆除缝线在原发性闭角型青光眼滤过术的应用[J]. 眼外伤职业眼病杂志, 2009, 31(9): 685-687
作者姓名:王瑞  孟海林  常新琦  何颜清  马锦霞
作者单位:安阳市眼科医院,河南,安阳,455000
摘    要:目的观察可拆除缝线在原发性闭角型青光眼滤过手术中的应用对预防早期并发症和提高长期降眼压的作用。方法将60例(60眼)慢性闭角型青光眼随机入选试验组和对照组。试验组行可拆除缝线并小梁切除术加丝裂霉素C(MMC),对照纽行小梁切除术加MMC。并进行随访观察。结果两组浅前房发生率差异无统计学意义。术后两绀间眼压除术后1d有显著差异外,余均无显著差异。结论可拆除缝线并未能瞳著减少小粱切除术术后早期浅前房发生率,对远期眼压控制亦无显著影响。

关 键 词:青光眼  原发性  小梁切除术  可拆除缝线

The application of releasable suture technique in trabeculectomy for primary angle-closure glaucoma
Affiliation:WANG Rui ,MENG Hai-lin, CHANG Xin-qi, et al(Anyang Eye Hospital,Anyang,Henan 455000,China)
Abstract:Objective To observe the releasable suture technique in trabeculectomy for primary angle-closure glaucoma to prevent early complications and improve long-term lowered intraocular pressure.Methods 60 eyes of 60 chronic angle-closure glaucoma patients were randomly divided into test group and control group.32 eyes in test group underwent trabeculectomy with releasable suture and MMC,28 eyes in control agroup underwent trabeculectomy and MMC.All of them were fellowed up for 6 months.Results There were no significant statistical differences between tow groups with shallow anterior chamber.Postoperative IOP between the two groups was no significant difference except for that 1 day after operation.Conclusions Releasable suture techniques has not significantly reduce early postoperative trabeculectomy incidence of shallow anterior chamber,or long-term intraocular pressure control.
Keywords:glaucoma  trabeculecomy  releasable suture
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