摘要
目的探讨可拆除巩膜瓣松解缝线小梁切除术治疗青光眼的疗效和并发症。方法54例(61眼)青光眼患者随机分为2组:观察组32眼行可松解缝线的小梁切除术,对照组29眼行常规小梁切除术,术后1、3、7、14、90d分别观察比较前房深度、眼压、视力及滤过泡等并发症的发生情况。结果观察组术后第1d1例出现浅前房,对照组发生浅前房7例(24.1%),术后3～7d发生浅前房5例(17.2%),两组差异有显著性(P<0.05)。观察组术后随访眼压平均为(2.08±0.32)kPa,眼压在2.74kPa以下者29只眼(90.6%)。对照组术后随访眼压平均为(2.28±0.51)kPa,眼压在2.74kPa以下者20只眼(69.0%)。观察组术后功能性滤过泡占92%,对照组占68%,差异有显著性(P<0.05)。结论青光眼小梁切除术联合可拆除巩膜瓣松解缝线术不仅能通过调控缝线来控制滤过量,而且能明显减少并发症,提高抗青光眼手术成功率。
Objective To evaluate the clinical effects and the incidence of postoperative compilations of trabeculecomy combined with adjustable sutured scleral flap of glaucoma.Methods Fifty-four patients (61 eyes) with glaucoma were randomly divided into two groups:32 eyes (observed group) received trabeculectomy with releasable sutures,while 29 eyes (control group) underwent normal trabeculectomy.After 1 d,3 d,7 d,15 d,90 d operatively, the intraocular pressure (IOP),the anterior chamber depth, the filtering blebs and other ocular complications were measured and compared between the two groups.Results Within 1 day postoperatively,there was 1 eye (3.13%) with shallow chamber in the observed group while there were 7 eyes (24.1%) in the control group.From 3 to 7 day postoperatively,there were 5 eyes (17.2%) with shallow chamber.The postoperative shallow chamber rate was highly significant (P<0.05) between two groups.The mean IOP of the observed group was 2.08±0.32 kPa after surgery and the eyes of IOP below 2.74 kPa were 29 (90.6%). The mean IOP of the control group was 2.28±0.51 kPa after surgery and the eyes of IOP below 2.74 kPa were 20 (69.0%).The percentage of the functional filtering blebs was 92% in the observed group and was 68% in the control group, the difference being statistically significant between two groups (P<0.05).Conclusion Trabeculectomy with releasable sutures can effectively reduce the incidence of postoperative complications by controlling the amount of aqua oculi outflowing and elevate the rate of surgical success.
出处
《同济大学学报（医学版）》
CAS
2005年第3期29-32,共4页
Journal of Tongji University(Medical Science)
