CAJ | 학술논문

目的探讨丝裂霉素C联合可调缝线在小梁切除术中应用的效果.方法对75例(120眼)原发性青光眼施行小梁切除术,术中应用丝裂霉素C并联合可调缝线；术后观察视力、滤过泡、前房深度及眼压,随访4～20个月.结果术后视力提高101眼；Ⅰ型滤过泡23眼,Ⅱ型滤过泡93眼,Ⅲ型滤过泡4眼；Ⅰ度浅前房25眼,Ⅱ度浅前房9眼；眼压0～10 mm Hg6眼、11～20 mm Hg110眼、21～30 mm Hg 4眼.结论在小梁切除术中采用丝裂霉素C并联合可调缝线可获得良好疗效,术后并发症少.
목적 탐토사렬매소C연합가조봉선재소량절제술중응용적효과.방법 대75례(120안)원발성청광안시행소량절제술,술중응용사렬매소C병연합가조봉선；술후관찰시력、려과포、전방심도급안압,수방4～20개월.결과 술후시력제고101안；Ⅰ형려과포23안,Ⅱ형려과포93안,Ⅲ형려과포4안；Ⅰ도천전방25안,Ⅱ도천전방9안；안압0～10 mm Hg6안、11～20 mm Hg110안、21～30 mm Hg 4안.결론 재소량절제술중채용사렬매소C병연합가조봉선가획득량호료효,술후병발증소.
Objective To discuss the efficacy of Mitomycin C combined with adjustable suture in trabeculectomy.Methods Seventy five cases (120 eyes) with primary glaucoma had received trabeculectomy,combined with Mitomycin C and adjustable suture.The visual acuity,filtrating blebs,depth of anterior chamber and the intraocular pressure were observed after the operation,with 4 - 20 months of follow-up.Results The visual acuity improved in 101 eyes.There were type Ⅰ filtering blebs in 23 eyes,type Ⅱ in 93eyes,and type Ⅲ in 4 eyes.Degree Ⅱ of shallow anterior chamber occurred in 25 eyes,and degree Ⅱ in 9eyes.The intraocular pressure was 0 ～ 10 mmHg in 6 eyes,11 ～ 20 mmHg in 110 eyes,21 ～ 30 mmHg in 4eyes.Conclusion In trabeculectomy,the application of Mitomycin C combined with adjustable suture could reduce the postoperative complications.