摘要
目的:比较3种不同的青光眼滤过手术术后浅前房发生情况,以期找出降低术后浅前房发生率最有效的手术方式。方法:将120例154眼原发性闭角型青光眼或原发性开角型青光眼随机地分为三组,第1组深层巩膜咬切术组(12例,14眼),第2组小梁切除术组(66例,82眼),第3组小梁切除合并术中牢固的巩膜瓣缝合与可拆除缝线组(42例,58眼),比较3种不同术式术后浅前房情况。结果:术后浅前房发生率为:第一组21.4％,第2组19.5％,第3组5.1％,第1组与第2组比较术后浅前房发生率差异无显著性(P>0.05),第3组与第1、2组比较差异有显著性意义(P<0.05)。结论:牢固的巩膜瓣缝合与可拆除缝线在青光眼滤过手术中的应用大大降低了术后浅前房的发生率,其手术操作简单,疗效显著。眼科学报1999;15:111—113。
Purpose: Comparing the rate of postoperative shallow anterior chambers with three kinds of filtration surgery to find the most effective way of reducing the complication. Methods:The 120 cases (154 eyes) with primary angle-closure glaucoma or primary open-angle glaucoma were enrolled in this study. The patients were divided into three groups, group 1 (12 cases, 14 eyes) treated by deep sclecatony and group two (66 cases, 82 eyes) treated by trobeculecotomy and group three (42 cases, 58 eyes) treated by trobeculecotomy combining with scleral flaps tightly sutured with releasable sutures.
Results:The rate of shallow anterior chambers was following: group one 21. 4%, group two 19. 5%, group three 5.1%. The rate of this complication between group 1 and group 2 was not different in statistics ( P >0. 05), but group 3 was significantly reduced in comparing with that of the other two groups ( P <0. 05). Conclusion : The results indicate that this kind of suture may decrease the occurrence of the complication of shallow anterior chamber in filtration surgery and it is simple to operate and the curative result is reliable. Eye Science 1999; 15; 111 - 113 .
出处
《眼科学报》
1999年第2期111-113,共3页
Eye Science
