摘要
目的讨论眼外伤致继发性青光眼患者实施小梁切除术治疗的临床分析。方法选取2017年1月-2019年1月该院治疗眼外伤致继发性青光眼的患者160例,根据随机数字法分为两组,在实验组中使用小梁切除手术,在对照组中使用周边虹膜切除手术。结果对照组中达到痊愈标准的患者占45.00%,有达到有效标准的患者占30.00%;实验组中达到痊愈标准的患者占65.00%,有达到有效标准的患者占32.50%,差异有统计学意义(χ^2=17.075,P<0.05)。在治疗后,实验组的视力变化高于对照组,差异有统计学意义(t=7.855,P<0.05)。实验组的眼压变化小于对照组,差异有统计学意义(t=7.963,P<0.05)。对照组中有8例患者出现脉络膜脱离,有10例患者出现前房出血,不良反应发生率为22.50%;实验组中有2例患者出现脉络膜脱离,没有患者出现前房出血,不良反应发生率为2.50%,差异有统计学意义(χ^2=8.597,P<0.05)。结论在眼外伤致继发性青光眼的患者中使用小梁切除手术治疗,可以减少眼压变化,改善视力,提高治疗效果,减少不良反应,具有重要的临床价值。
Objective To discuss the clinical analysis of trabeculectomy in patients with secondary glaucoma caused by ocular trauma.Methods From January 2017 to January 2019,160 patients with secondary glaucoma caused by ocular trauma were selected and divided into two groups according to the random number method.Trabeculectomy was used in the experimental group and the control group used peripheral irisectomy.Results In the control group,45.00%of patients reached the cure standard,and 30.00%of the patients reached the effective standard;in the experimental group,65.00%of the patients reached the cure standard,and 32.50%of the patients reached the effective standard;the difference was statistically significant(χ^2=17.075,P<0.05).After treatment,the visual acuity changes of the experimental group were higher than those of the control group,the difference was statistically significant(t=7.855,P<0.05).The changes in intraocular pressure of the experimental group were smaller than those of the control group,with a statistically significant difference(t=7.963,P<0.05).In the control group,8 patients had choroidal detachment,10 patients had anterior chamber hemorrhage,and the incidence of adverse reactions was 22.50%;in the experimental group,2 patients had choroidal detachment,and no patients had anterior chamber hemorrhage.The incidence of adverse reactions was 2.50%;the difference was statistically significant(χ^2=8.597,P<0.05).Conclusion The use of trabeculectomy in patients with secondary glaucoma caused by ocular trauma can reduce changes in intraocular pressure,improve vision,improve treatment effects,and reduce adverse reactions,and has important clinical value.
作者
李蓉煜
LI Rong-yu(Department of Ophthalmology,Second People's Hospital of Chengyang District,Qingdao,Shandong Province,266112 China)
出处
《世界复合医学》
2020年第8期7-9,共3页
World Journal of Complex Medicine
作者简介
李蓉煜(1974-),女,本科,副主任医师,主要从事干眼症,白内障超声乳化手术,青光眼联合白内障手术的临床治疗工作。
