摘要
分析102例(131眼)青光眼患者的发病年龄、性别、病程、术前眼压,手术方式与术后发生浅或无前房的关系。根据spaeth标准确定浅或无前房。结果显示:①在青光眼的滤过手术方式中,以巩膜咬切术后浅或无前房的发生率最高,虹膜周切术后的发生率最低(P<0.05);②术前眼压>6.80kpa者与<6.67kpa者比较,前者术后更易发生浅或无前房(P<0.05)。表明青光眼术后导致浅或无前房发生的因素,主要是手术方式和术前眼压。我们认为,要减少青光眼术后浅或无前房的发生率,提高青光眼的治疗效果,就必须选择适当的手术方式及处理好术前高眼压。
We analysed the relations of such factors as surgery approach, age of onset, sex, course of disease and preoperative intra-ocular pressure of 102 patients (131 eyes) with glaucoma to the occurrence of the postoperative shallow or flat anterior chamber which was determined by Spaeth' s criteria. The results show that the incidence is the highest after sclerotidectomy and the lowest ( P< 0. 05) after stenopeic iridectomy in the filtering operations of glaucoma, and the disease is more incidental to the patientsof >51 mmHg of preoperative intra-ocular pressure (p<0.05) than those of <50mmHg.It is suggested that surgery approach and preoperative intra-ocular pressure are the important factors that will produce the glaucoma-postoperative delayed formation of the anterior chamber. In order to decrease the incidence of the postoperative shallow or flat anterior chamber and improve the therapeutical effect on glaucoma, the suitable surgery procedure should be taken and the preoperative good treatment of the intra-ocular hypertension must be adopted.
出处
《赣南医学院学报》
1991年第1期32-35,共4页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
青光眼
手术
并发症
前房延缓形成
Glaucoma / surgery
Postoperative complications
Aqueous humor / secretion
Ocular hypertension / prevention & control
