摘要
目的:研究复合式小梁切除术治疗急性闭角型青光眼的临床疗效。方法:收治急性原发性闭角型青光眼患者68例(72眼),随机分成A、B两组,A组行传统小梁切除术,B组行复合式小梁切除术。术后随访6~12个月,平均8.6个月。常规观察最佳矫正视力、眼压、前房形成、滤过泡及并发症。结果:A组和B组的术后视力恢复、眼压控制率、浅前房发生率、功能性滤泡形成率差异具有统计学意义(P<0.05),B组手术效果优于A组。结论:采用复合式小梁切除术治疗急性闭角型青光眼,患者术后视力恢复好,眼压控制好,前房稳定,滤过泡形态功能好,并发症少,是优于传统小梁切除术的手术方式。
Objective:To evaluate the clinical effect of compound trabeculectomy operation on acute primary angle closure glaucoma.Methods:48 cases(50 eyes)with acute primary angle closure glaucoma were divided into two groups randomly.Group A:traditional trabeculectomy;group B:compound trabeculectomy operation.The follow-up period was over 6~12 months,mean 8.6months.Clinical observations were carried out on postoperative the best corrected visual acuity,intraocular pressure,anterior chamber formation,filtering bleb and complications.Results: Compared with the two groups,the best corrected visual acuity,intraocular pressure,anterior chamber formation,filtering bleb and complications had statistically significant differences(P<0.05).Conclusions:Compound trabeculectomy operation on acute primary angle closure glaucoma can improve the best corrected visual acuity,reduce effectively intraocular pressure,maintain anterior chamber,from functional filtering bleb and reduce the complications.It is a better method than traditional trabeculectomy.
关键词
复合式小梁切除术
急性闭角型青光眼
Compound
Trabeculectomy operation
Acute primary angle closure
Glaucoma
