摘要
目的 观运用丝裂霉素后可调整缝线小梁切除术治疗青光眼的疗效和并发症。方法 采用随机对照法将 60例(60眼 )青光眼分为实验组 (A组 )和对照组 (B级 )。A ,B两组均运用丝裂霉素 ,A组术中加缝 2针可调整巩膜瓣缝线。比较两组术后前房形成、眼压、滤过泡情况及并发症。结果 A组发生浅前房 5例 ,B组发生 10例。A组和B组术后眼压在术后 2周内对比差异有显著性意义 ,两组术后功能性滤泡形成率分别为 83 2 8%± 7 2 %和 71 43 %± 9 4% ,差异有显著性意义。且A组术后并发症发生率明显低于B组。结论 运用丝裂霉素的小梁切除术作可调整巩膜瓣缝线后 ,不仅能调控房水滤过量 ,而且能明显减少并发症 ,提高手术成功率。
Objective To compare the effectiveness and complication applying mitomycin C(MMC) to trab eculectomy with or without adjustable suture.Methods In a randomi zed control clinical trial,60 patients(60 eyes)with glaucoma were divided into study group(group A,30 eyes)and control group(group B,30 eyes).After using MMC, group A underwent trabeculectomy with adjustable scleral flap suture,while group B underwent trabeculectomy without adjustable suture.After trabeculectomy,dept h of anterior chamber,postoperative IOP,filtration blebs and complications were followed up and compared.Results There were 5 eyes with shallow a nterior chamber developed in the study group,but 10 eyes in the control group. The re was significant difference between two groups.There was significant statistic al difference between two groups with respect to IOP in two weeks.The statistica l difference of IOP was no significant after two weeks.The success rates of func tional filtering blebs in two groups were 83.28%±7.2% and 71.43%±9.4% respecti ve ly,the difference being statistically significant.Complications of group A were much less than those of group B.Conclusion Applying MMC to trabec ulectomy with adjustable temporal suture for scleral flap not only can regulate the function of filtration and control the IOP,but also decrease the occurrenc e of complications.
出处
《眼外伤职业眼病杂志》
北大核心
2004年第11期746-748,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
