摘要
目的 探讨比较小梁切除术联合MMC与改良黏小管切开术治疗继发性青光眼的临床疗效。方法 选取2012年1月-2014年10月我院共收治58例（77眼）继发性青光眼患者,随机分为A组和B组,A组采用小梁切除术联合MMC方法治疗,B组采用改良黏小管切开手术治疗方法,分析比较两组眼压、视力恢复情况及并发症的发生情况。结果 两组术后一周平均眼压均降低,术后1个月及3个月眼压控制效果良好,P〉0.05,差异不具有统计学意义。A组视力矫正情况略优于B组,P〉0.05,差异不具有统计学意义。B组并发症发生率略低于A组,P〉0.05,差异不具有统计学意义。结论 采用小梁切除术联合MMC和改良黏小管切开术治疗继发性青光眼均具有较高的安全性和可靠性,临床治疗中可根据患者具体病情和临床资料选择与之相符的治疗方法。
Objective To explore the clinical curative effect on trabeculectomy with MMC and improved adhesion tubular dissection for the treatment of secondary glaucoma. Methods Selected 58 cases （77 eyes） with secondary glaucoma From January 2013 to January 2014 in our hospital divided into group A and group B randomly, trabeculectomy with MMC method therapy was given the group A, while the improved adhesion tubular incision surgery treatment was given the group B. compared The two groups intraocular pressure, visual acuity and complications. Results The postoperative intraocular pressure of the two groups were obviously reduced, which had no statistical signiifcance between the two groups after 1 month and 3 months, P〉0.05, had no difference statistically signiifcance. the vision correction group A was better than group B, P〉0.05, had no difference statistically signiifcance. The complication rate of group B was lower than in group A, P〉0.05, had no difference statistically signiifcance. Conclusion The application of trabeculectomy with MMC and improve adhesion tubular dissection for the treatment of secondary glaucoma is safe and reliable, which can be chosed according to the speciifc condition and clinical data and treatment in the clinical treatment.
出处
《中国继续医学教育》
2015年第16期105-106,共2页
China Continuing Medical Education
