摘要
目的观察改良复合式小梁切除术治疗原发性青光眼的临床疗效。方法选取140例(143眼)原发性青光眼患者作为研究对象,将采用改良复合式小梁切除术的70例(71眼)患者纳入观察组,将采用传统小梁切除术的70例(72眼)患者纳入对照组,对两组患者的术后眼压、手术满意率以及并发症发生情况进行观察和比较。结果两组患者术后1 d、2周、3个月的眼压与术前相比均显著下降,差异均有统计学意义(均为P<0.05);两组术后各时间点眼压比较,差异均有统计学意义(均为P<0.05),观察组低于对照组。两组患者手术满意率分别为94.3%和74.3%,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,但只有在浅前房方面,两组之间的差异有统计学意义(P<0.05)。结论改良复合式小梁切除术治疗原发性青光眼疗效显著,且并发症较少。
Objective To observe the clinical efficacy of improved compound trabeculectomy for primary glaucoma. Methods A total of 140 patients （ 143 eyes） with primary glaucoma were selected as research objects. Senventy patients （ 71 eyes） treated with improved compound trabeculectomy combining mitomycin C with the adjustable suture in the scleral resection were included into the observation group ,70 patients（72 eyes） treated with the traditional trabeculectomy in the same period were included into the control group. The postoperative intraocular pressure, satisfaction rate of operation and complications of the patients in the two groups were observed and compared. Results At the postoperative l day,2 weeks and 3 months,the intraocular pressure of the patients in the two groups decreased significantly compared with that before treatment （ all P 〈 0. 05 ） ; The postoperative IOP of the observation group was lower than that of the control group （ all P 〈 0.05 ）. The satisfaction rate of the patients in the two group were 94.3% and 74.3% , respectively, there was statistical difference （P 〈 0.05 ）. The complication rate in the observation group was lower than that in the control group, but there was significant difference only in shallow anterior chamber between two groups （P 〈 0.05 ）. Conclusion The curative effect of improved compound trabeculectomy for primary glaucoma is significant with less complications.
出处
《眼科新进展》
CAS
北大核心
2013年第11期1070-1072,共3页
Recent Advances in Ophthalmology
