摘要
目的:观察巩膜隧道切口小梁切除术治疗急性闭角型青光眼患者的效果。方法:选取80例急性闭角型青光眼患者为研究对象,按照随机数字表法分成研究组和对照组,研究组40例患者,共计78只眼睛,对照组40例患者,共计74只眼睛。对照组接受常规小梁切除术治疗,研究组接受巩膜隧道切口小梁切除术治疗,比较两组眼压水平、眼压控制率、功能性滤过泡形成率及并发症发生率。结果:术后,两组眼压水平均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组眼压控制率为84.62%,明显高于对照组的64.86%,差异有统计学意义(P<0.05);研究组功能性滤过泡形成率明显高于对照组,差异有统计学意义(P<0.05);研究组浅前房、低眼压、黄斑水肿及前房反应等并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:巩膜隧道切口小梁切除术治疗急性闭角型青光眼患者可降低眼压水平和并发症发生率,提高眼压控制率和功能性滤过泡形成率,效果优于常规小梁切除术治疗效果。
Objective: To analyze effects of scleral tunnel incision trabeculectomy on patients with acute angle-closure glaucoma. Methods: 80 patients with acute angle-closure glaucoma were selected as the research objects and divided into study group(40 cases, 78 eyes) and control group(40 cases, 74 eyes) according to the random number table method. The control group received conventional trabeculectomy, while the study group was given the scleral tunnel incision trabeculectomy. The intraocular pressure level, intraocular pressure control rate, functional filtering bleb formation rate and complication rate were compared between the two groups. Results: After the operation, the intraocular pressures were lower in the two groups than those before the operation;that of the study group was lower than that of the control group;and the differences were statistically significant(P<0.05). The control rate in the study group was 84.62%, which was significantly higher than the control group of 64.86%, and the differences were statistically significant(P<0.05). The formation rate of functional filtering blebs in the study group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Further, the incidence rate of complications such as shallow anterior chamber, low intraocular pressure, macular edema and anterior chamber reaction in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusions: Scleral tunnel incision trabeculectomy for the patients with acute angleclosure glaucoma can reduce the intraocular pressure level and the incidence of complications and improve the control rate and the functional filtering bleb formation rate. Moreover, it is superior to conventional trabeculectomy.
作者
贾宝阳
JIA Baoyang(Department of Ophthalmology of Bengang Beiying Hospital of Liaoning Health Industry Group,Benxi 117017 Liaoning,China)
出处
《中国民康医学》
2020年第12期1-3,共3页
Medical Journal of Chinese People’s Health
关键词
巩膜隧道切口
小梁切除术
急性
闭角型青光眼
临床效果
眼压
Scleral tunnel incision
Trabeculectomy
Acute
Angle-closure glaucoma
Clinical effect
Intraocular pressure
