摘要
目的评价可调节缝线对小梁切除术后眼压及前房深度等的作用。方法将93例患者随机分为两组:治疗组(46例,72只眼),行小梁切除联合应用可调节缝线术;对照组(47例,72只眼),行常规小梁切除术。随访10～20月,观察术眼视力、眼压、前房及黄斑水肿等。结果治疗组前房全部第一天形成,眼压均值(2.02±0.23)kPa,50%的患眼视力不变或提高;炎症反应、低眼压、黄斑水肿的发病率均明显低于对照组(P<0.05)。结论可调节缝线的应用能明显提高青光眼手术的疗效和安全性,并有效降低早期手术并发症。
Objective To evaluate the effects of adjustable sutures on ocular tension, chamber depth, etc. after operation for glaucoma. Methods For 93 patients suffered from glaucoma, who were divided randomly into two groups, trabeculectomy combined with adjustable sutures were applied to therapy group （46cases, 72eyes ）, control group adopted routine trabeculectomy （47cases, 72eyes）, vision, ocular tension, anterior chamber depth and macular edema were observed in the 10 20 months follow - up. Results In therapy group, anterior chamber entirely formed at the first day after surgery, the mean of ocular tension was （2. 02 ±0. 23 ） kPa, vision was invariable or raised in 50% eyes. The incidence rate of inflammatory reaction, ocular hypotension and macular edema in therapy group was obviously lower than that of control group （P 〈 0. 05 ）. Conclusion Application of adjustable sutures improved significantly the curative effect and safety of operation for glaucoma, decreased effectively the complication within earlier period.
出处
《医药论坛杂志》
2007年第17期25-26,共2页
Journal of Medical Forum
关键词
青光眼手术
可调节缝线
小梁切除术
Operation for glaucoma
Adjustable sutures
Trabeculectomy
