中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
2期
122-125
,共4页
郭黎霞%范肃洁%段志娟%孙兰萍
郭黎霞%範肅潔%段誌娟%孫蘭萍
곽려하%범숙길%단지연%손란평
解剖结构%A超%青光眼%闭角型%原发性
解剖結構%A超%青光眼%閉角型%原髮性
해부결구%A초%청광안%폐각형%원발성
Structure,anatomical%A-mode Ultrasonic Scanning%Glaucoma,angle-closure,Primary
目的 观察原发性闭角型青光眼激光术后A超显示的解剖结构改变.方法 90例(90眼)原发性闭角型青光眼(PACG)纳入本研究,随机被分为两组,B组采用360.虹膜成形联合YAG激光周边虹膜切除术;A组采用YAG激光周边虹膜切除术.应用A型超声测量PACG激光前后前房深度、晶状体厚度、眼轴长度;并做眼压测量.各项均值进行组间比较和分析.结果 在A组中,除晶状体厚度外,各项均值(前房深度、眼轴长度、眼压)与术前相比,差异有统计学意义(t=2.438,P<0.01;t=-2.135,P<0.05;t=2.524,P<0.01).在B组中,除前房深度和晶体厚度外,术后,眼轴、眼压比术前降低(t =2.517,P<0.01;t=2.679,P<0.01).眼轴缩短的幅度与眼压的降低的幅度成正相关(r =0.713,P<0.01).结论 原发性闭角型青光眼激光术后眼轴缩短,眼压降低,眼轴的缩短与眼压的降低有关.
目的 觀察原髮性閉角型青光眼激光術後A超顯示的解剖結構改變.方法 90例(90眼)原髮性閉角型青光眼(PACG)納入本研究,隨機被分為兩組,B組採用360.虹膜成形聯閤YAG激光週邊虹膜切除術;A組採用YAG激光週邊虹膜切除術.應用A型超聲測量PACG激光前後前房深度、晶狀體厚度、眼軸長度;併做眼壓測量.各項均值進行組間比較和分析.結果 在A組中,除晶狀體厚度外,各項均值(前房深度、眼軸長度、眼壓)與術前相比,差異有統計學意義(t=2.438,P<0.01;t=-2.135,P<0.05;t=2.524,P<0.01).在B組中,除前房深度和晶體厚度外,術後,眼軸、眼壓比術前降低(t =2.517,P<0.01;t=2.679,P<0.01).眼軸縮短的幅度與眼壓的降低的幅度成正相關(r =0.713,P<0.01).結論 原髮性閉角型青光眼激光術後眼軸縮短,眼壓降低,眼軸的縮短與眼壓的降低有關.
목적 관찰원발성폐각형청광안격광술후A초현시적해부결구개변.방법 90례(90안)원발성폐각형청광안(PACG)납입본연구,수궤피분위량조,B조채용360.홍막성형연합YAG격광주변홍막절제술;A조채용YAG격광주변홍막절제술.응용A형초성측량PACG격광전후전방심도、정상체후도、안축장도;병주안압측량.각항균치진행조간비교화분석.결과 재A조중,제정상체후도외,각항균치(전방심도、안축장도、안압)여술전상비,차이유통계학의의(t=2.438,P<0.01;t=-2.135,P<0.05;t=2.524,P<0.01).재B조중,제전방심도화정체후도외,술후,안축、안압비술전강저(t =2.517,P<0.01;t=2.679,P<0.01).안축축단적폭도여안압적강저적폭도성정상관(r =0.713,P<0.01).결론 원발성폐각형청광안격광술후안축축단,안압강저,안축적축단여안압적강저유관.
Objective To observe change of the anatomical structure of primary angle-closure glaucoma (PACG) after laser surgery by A-mode ultrasonic scanning.Methods Anatomical structures including the anterior chamber depth ( ACD),lens thickness (LT) and the axial length ( AL),were measured by A-mode ultrasonic scanning in 90 eyes of 90 patients with PACG before and after laser surgery.90 patients were randomly divided into two groups,Group A underwent Nd:YAG laser iridectomy,while group B did the combined surgery of laser iridoplasty around 360°,followed by Nd:YAG laser iridectomy.All mean values were analyzed with t-test.Results In group A,the eyes had significant differences in all items except LT compared with that before surgery (t =2.438,P < 0.01 ; t =- 2.135,P < 0.05 ; t =2.524,P < 0.01 ).While in group B,there was a statistically significant difference in IOP and AL after surgery (t =2.517,P <0.01; t =2.679,P < 0.01 ).The reduction of AL had positive relationship with IOP reduction (r =0.713,P <0.01 ).Conclusion There is a small but statistically significant decrease in AL and IOP after laser surgery.This reduction of AL was related to IOP reduction.