| 改良小梁切除与传统小梁切除的疗效观察研究 |
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| 引用本文： | 陈世会,黄胜.改良小梁切除与传统小梁切除的疗效观察研究[J].铜仁职业技术学院学报,2006(4). |
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| 作者姓名： | 陈世会 黄胜 |
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| 作者单位： | 玉屏县人民医院 贵州玉屏554000(陈世会)，铜仁地区人民医院 贵州铜仁554300(黄胜) |
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| 摘 要： | 目的:评价小梁切除术中改良巩膜瓣、睫状突定量小梁切除、不同缝合方式在术中术后的优缺点及远期疗效。方法120例(156眼)原发性青光眼随机分为4组:A组(传统术式组)30例(42眼);B组(可拆褥式缝线组)30例(40眼);C组(L形巩膜瓣小梁切除组)30例(34眼);D组(小切口睫状突定量小梁切除术组)3 0例(40眼),B.C.D组为改良术式组。比较4组术后浅前房、眼压和滤过泡情况。结果:浅前房发生率:A组26.119%(11/42),B组7.50%(3/40),C组2.94%(1/34),D组2.50%(1/40),改良术式组与传统术式组比较差异有板有统计学意义(P<0.01);随诊眼压:A组(14.65±4.30)mmHg,B组(1 3.87±3.60)m mHg,C组(15.58±3.20)mmHg,D组(14.50±3.15)mmHg,4组间差异无统计学意义(P>0.05);随诊功能性滤过泡A组76.19%(32/42),B组92.50%(37/40),C组97.05%(33/34),D组95.00%(38/40),传统小梁切除组与改良小梁切除组比较差异有统计学意义(P<0.05)。结论采用巩膜瓣可拆褥式缝合、L形巩膜瓣小梁切除、小切口睫状突定量小梁切除可大大降低术后浅前房的发生率,并能理想地控制眼压,提高术后视功能。
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| 关 键 词： | 小梁切除术 青光眼 巩膜瓣 并发症 |
An Observation of the Long-term Therapeutic Efficacy of the Reformed Trabeculectomy Excision and the Conventional Trabeculectomy Excision |
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| CHEN Shi-hui HUANG Sheng.An Observation of the Long-term Therapeutic Efficacy of the Reformed Trabeculectomy Excision and the Conventional Trabeculectomy Excision[J].Journal of Tongren Vocational & Technical College,2006(4). |
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| Authors: | CHEN Shi-hui HUANG Sheng |
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| Abstract: | Purpose:To understand the strong points and weak points in operation and after operation and the long-term medical efficacy of reformed sclera petal,quantitative trabeculectomy in cyclodialysis and the different suture patterns.Method:120 cases of patients contracted with primary glaucoma(156 eyes) have been randomly divided into four groups:A groups(the cases of patients accepting conventional operation) are 30(42 eyes);B groups(the cases of patients accepting foldable layer sutures) are 30(40 eyes);C groups(the cases of patients accepting left sclera petal trabeculectomy) are 30(34 eyes);D groups(the cases of patients accepting quantitative trabeculectomy incyclodialysis just with a small incision) are 30(40 eyes);The post-operation situation of theexposed anterior chamber,the intraocularpressure and the filtration follicles has been compared concerning the four groups of patients.Result:On the aspect of the incidence ratio of the exposed anterior chamber:A group is 26.19%(11/42),B group is 7.50%(3/40),C group is 2.94%(1/34),D group is 2.50%(1/40),the operation group of the reformed trabeculectomy excision and the operation group of the conventional trabeculectomy excision have been compared and are of remarkable characteristics(p<0.01).On the aspect of the follow-up clinical observation of the intraocular pressure:A group is(14.65 4.30) mmHg,B group is(13.87 3.60) mmHg,C group is(15.58 3.20) mmHg,D group is(14.50 3.15) mmHg,the differences of the four groups are of little remarkable characteristics(P >0.05).On the aspect of the follow-up clinical observation of the functional filtration follicles:A group is 76.19%(32/42),B group is 92.50%(37/40),C group is 97.05%(33/34),D group is 95.00%(38/40),the operation group of the reformed trabeculectomy excision and the operation group of the conventional trabeculectomy excision have been compared and are of remarkable characteristics(P<0.05).Conclusion:To adopt the operation methods of foldable layer sutures in sclera petal,left sclera petal trabeculectomy,quantitative trabeculectomy in cyclodialysis just with a small incision may largely reduce the incidence rate of the exposed anterior chamber after operation and may ideally control intraocular pressure and improve visibility function after operation.the exposed anterior chamber |
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| Keywords: | Trabeculectomy glaucoma sclera petal syndrome |
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