| 巩膜瓣可拆除缝线小梁切除术远期疗效观察 |
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| 引用本文： | 胡宏阁,张有亭,许冰,程宏松,杨勇.巩膜瓣可拆除缝线小梁切除术远期疗效观察[J].医药论坛杂志,2009(15). |
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| 作者姓名： | 胡宏阁 张有亭 许冰 程宏松 杨勇 |
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| 作者单位： | 河南省许昌市中心医院眼科; |
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| 摘 要： | 目的观察巩膜瓣可拆除缝线小梁切除术联合应用丝裂霉素C的远期疗效和术后早期并发症。方法65例(86眼)采用巩膜瓣可拆除缝线小梁切除术联合应用丝裂霉素C,同期46例(50眼)采用传统小梁切除术,比较手术后两组早期的低眼压、浅前房、脉络膜渗漏性脱离、黄斑水肿等并发症和远期的眼压控制效果。结果一年后的平均眼压,A组(17.3±6.41)mm Hg,B组(16.6±9.11)mm Hg,1年后两组间平均眼压的差异无统计学意义。术后早期浅前房A组11例(11眼),B组14例(14眼),浅前房发生率两组间的差异有统计学意义。A组未发生脉络膜脱离,B组发生3例(3眼),两组病例均未发生低眼压性黄斑病变和睫状环阻塞性青光眼。结论巩膜瓣可拆除缝线小梁切除术联合应用丝裂霉素C能有效地控制术后早期并发症,远期控制眼压效果与传统小梁切除无明显差别。
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| 关 键 词： | 青光眼 小梁切除 丝裂霉素C 可拆除缝线 |
Efficacy and Complications of Trabeculectomy with Removable Scleral-flap Suture and Mitomycin C |
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| HU Hongge,ZHANG Youting,XU Bing,et alXuchang Central Hospital,Xuchang ,China.Efficacy and Complications of Trabeculectomy with Removable Scleral-flap Suture and Mitomycin C[J].Journal of Medical Forum,2009(15). |
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| Authors: | HU Hongge ZHANG Youting XU Bing Xuchang Central Hospital Xuchang China |
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| Institution: | HU Hongge,ZHANG Youting,XU Bing,et alXuchang Central Hospital,Xuchang 461000,China |
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| Abstract: | Objective To observe trabeculectomy with removable scleral-flap suture and mitomycin C(MMC),evaluate its efficacy and complications a term of one year in the patients of glaucoma.Methods Sixty-five patients(eighty-six eyes) underwent removable suture trabeculectomy with MMC as group A.Forty-six patients(fifty eyes) underwent routine trabeculectomy as group B.Intraocular pressure(IOP),anterior chamber(AC),complications were evaluated preoperatively and up to 12 months postoperatively.Results After 1 year pos... |
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| Keywords: | Glaucoma Trabeculectomy Removable suture Mitomycin C |
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