摘要
目的探讨施行小梁切除术中应用可调节缝线缝合巩膜瓣对患者术后眼压的影响。方法选取2018年2～9月在爱尔眼科滨海医院接受治疗的110例慢性闭角型青光眼患者,采用随机数字表法分为观察组和对照组,各55例。对照组采用非可调节缝线,观察组采用可调节缝线,比较两组的浅前房发生率、手术成功率、术后7 d眼压指标、术后2个月眼压指标。结果治疗结束后,观察组的浅前房发生率为5.45%,显著低于对照组的23.64%,差异有统计学意义(P<0.05)。观察组的手术成功率为96.36%,显著高于对照组的70.91%,差异有统计学意义(P<0.05)。观察组术后7 d的眼压低于对照组,差异有统计学意义(P<0.05)。观察组术后2个月的眼压低于对照组,差异有统计学意义(P<0.05)。结论可调节缝线方法可有效改善慢性闭角型青光眼患者预后,值得推广应用。
Objective To investigate the influence of adjustable suture suturing scleral flap on postoperative intraocular pressure in patients undergoing trabeculectomy. Methods A total of 110 patients with chronic angle-closure glaucoma who were treated at Binhai Hospital of Yingkou Aier Eye Hospital from February to September in 2018 were enrolled. They were divided into the control group and the observation group according to a random number table method, 55 cases in each group. The control group was given non-adjustable suture, and the observation group was given adjustable suture. The incidence of shallow anterior chamber, the surgical success rate, the intraocular pressure index in seven days after surgery, and the intraocular pressure index after two months in the two groups were compared. Results After treatment, the incidence of shallow anterior chamber in the observation group was 5.45%, which was much lower than that in the control group accounting for 23.64%, with statistical difference (P<0.05). The surgical success rate of the observation group was 96.36%, which was significantly higher than that of the control group accounting for 70.91%, with significant difference (P<0.05). The intraocular pressure of the observation group was lower than that of the control group at 7 days after operation, with statistical difference (P<0.05). The intraocular pressure at 2 months after surgery in the observation group was lower than that of the control group, with statistical significance (P<0.05). Conclusion The adjustable suture can effectively improve the prognosis of patients with chronic angle-closure glaucoma, and it is worthy of promotion and application.
作者
杨玲
屈政朋
YANG Ling;QU Zheng-peng(General Department of Glaucoma and Cataract, Binhai Hospital of Yingkou Aier Eye Hospital, Liaoning Province, Yingkou 115000, China;General Department of Ophthalmology, Yingkou Bayuquan Bohai Aier Eye Hospital, Liaoning Province, Yingkou 115000, China)
出处
《中国当代医药》
2019年第9期61-63,共3页
China Modern Medicine
关键词
慢性闭角型青光眼
可调节缝线
尼龙线
巩膜瓣
Chronic angle-closure glaucoma
Adjustable suture
Nylon thread
Scleral flap
