摘要
目的探讨巩膜隧道切口小梁切除术治疗急性闭角型青光眼的临床疗效。方法选择2014年1月至2016年12月我院收治的100例急性闭角型青光眼患者作为研究对象,接受巩膜隧道切口小梁切除术的55例(105只眼)患者列为观察组,执行常规小梁切除术的45例(80只眼)患者列为对照组。对比分析两组手术后眼压、滤过泡与并发症状况。结果手术后随访3～30个月,对比两组眼压控制率,观察组明显高于对照组(P <0. 05);对比两组术后滤过泡形成情况,观察组明显优于对照组(P <0. 05);对比两组并发症几率,观察组显著低于对照组(P <0. 05)。结论采用巩膜隧道式小梁切除术治疗急性闭角型青光眼,在手术结束后早期,自然产生前房与滤过泡,并发症发生率低,眼压控制稳定,手术安全可靠。
Objective To analyze the clinical effect of scleral tunnel incision trabeculectomy for acute angle-closure glaucoma. Methods 100 patients with acute angle-closure glaucoma admitted to our hospital from January 2014 to December 2016 were selected as subjects in this study. 55 patients (105 eyes) who underwent scleral tunnel incision trabeculectomy were included in the experiment.45 patients (80 eyes) who underwent routine trabeculectomy were included in the control group. Comparative analysis of intraocular pressure, filtration bleb and complications after surgery. Results The patients were followed up for 3 to 30 months. The intraocular pressure control rate of the two groups was significantly higher than that of the control group ( P <0.05). The experimental group was significantly better than the control group. P <0.05); Comparing the complication rate of the two groups, the experimental group was significantly lower than the control group ( P <0.05). Conclusions Glaucoma is treated by scleral tunnel trabeculectomy. In the early stage after the operation, anterior chamber and filtering bleb are naturally produced, the complication rate is low, the intraocular pressure control is stable, and the operation is safe and reliable.
作者
李恒健
Li Hengjian(Department of Ophthalmology, Panjin Central Hospital, Panjin, Liaoning 124000, China)
出处
《临床眼科杂志》
2018年第6期534-536,共3页
Journal of Clinical Ophthalmology
关键词
巩膜隧道切口小梁切除术
急性闭角型青光眼
疗效
Scleral tunnel incision trabeculectomy
Acute angle-closure glaucoma
Treatment effect
作者简介
通讯作者:李恒健(Email:lnpjlihengjian@sina.com)
