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
3期
188-192
,共5页
唐敏%傅扬%富名水%樊莹%邹海东%孙晓东%许迅
唐敏%傅颺%富名水%樊瑩%鄒海東%孫曉東%許迅
당민%부양%부명수%번형%추해동%손효동%허신
Ahmed青光眼引流阀%小梁切除术%巩膜扣带术%青光眼
Ahmed青光眼引流閥%小樑切除術%鞏膜釦帶術%青光眼
Ahmed청광안인류벌%소량절제술%공막구대술%청광안
Ahmed glaucoma valve%Trabeculectomy%Scleral buckling%Glaucoma
目的 评价Ahmed青光眼引流阀植入术与小梁切除术在巩膜扣带术后难治性青光眼治疗中的疗效比较.方法 接受滤过手术的巩膜扣带术后难治性青光眼41例(41眼).其中Ahmed青光眼引流阀植入术19例(阀门组),小梁切除术22例(小梁组).分析两组术后1年内的成功率、眼压降幅、视力、并发症和合并用药情况.结果 12个月阀门组的成功率为63.16％；小梁组为31.82％.阀门组成功率显著高于小梁组(X2=4.027,P=0.0427).阀门组术后12个月眼压均值为(16.5 ±4.9)mm Hg；小梁组术后12个月为(19.8 ±4.3)mm Hg.阀门组眼压显著低于小梁组(t=2.1102,P=0.0427).两组术后视力变化、并发症及合并青光眼药物使用情况均无差异.结论 Ahmed青光眼引流阀植入术较之小梁切除术,具有更为持久的降眼压作用和相似的安全性,是治疗巩膜扣带术后难治性青光眼的有效方法 .
目的 評價Ahmed青光眼引流閥植入術與小樑切除術在鞏膜釦帶術後難治性青光眼治療中的療效比較.方法 接受濾過手術的鞏膜釦帶術後難治性青光眼41例(41眼).其中Ahmed青光眼引流閥植入術19例(閥門組),小樑切除術22例(小樑組).分析兩組術後1年內的成功率、眼壓降幅、視力、併髮癥和閤併用藥情況.結果 12箇月閥門組的成功率為63.16％；小樑組為31.82％.閥門組成功率顯著高于小樑組(X2=4.027,P=0.0427).閥門組術後12箇月眼壓均值為(16.5 ±4.9)mm Hg；小樑組術後12箇月為(19.8 ±4.3)mm Hg.閥門組眼壓顯著低于小樑組(t=2.1102,P=0.0427).兩組術後視力變化、併髮癥及閤併青光眼藥物使用情況均無差異.結論 Ahmed青光眼引流閥植入術較之小樑切除術,具有更為持久的降眼壓作用和相似的安全性,是治療鞏膜釦帶術後難治性青光眼的有效方法 .
목적 평개Ahmed청광안인류벌식입술여소량절제술재공막구대술후난치성청광안치료중적료효비교.방법 접수려과수술적공막구대술후난치성청광안41례(41안).기중Ahmed청광안인류벌식입술19례(벌문조),소량절제술22례(소량조).분석량조술후1년내적성공솔、안압강폭、시력、병발증화합병용약정황.결과 12개월벌문조적성공솔위63.16％；소량조위31.82％.벌문조성공솔현저고우소량조(X2=4.027,P=0.0427).벌문조술후12개월안압균치위(16.5 ±4.9)mm Hg；소량조술후12개월위(19.8 ±4.3)mm Hg.벌문조안압현저저우소량조(t=2.1102,P=0.0427).량조술후시력변화、병발증급합병청광안약물사용정황균무차이.결론 Ahmed청광안인류벌식입술교지소량절제술,구유경위지구적강안압작용화상사적안전성,시치료공막구대술후난치성청광안적유효방법 .
Objective To evaluate the efficacy and safety of Ahmed glaucoma valve implantation versus trabeculectomy in the treatment of refractory glaucoma after scleral buckling.Methods A total of 41 eyes of 41 patients with glaucoma after scleral buckling who accepted Ahmed glaucoma valve implantation or trabeculectomy were enrolled,including 19 patients in the valve group and 22 patients in the trabeculectomy group.The successful rate,intraocular pressure (IOP) reduction,visual acuity,complications and medical therapy were observed for one year.Results The successful rate was 63.16％ in the valve group 12 months after surgery,and 31.82％ in the trabeculectomy group.The success rate in the valve group was significantly higher than that in the trabeculectomy group at 12 months follow-up (x2 =4.027,P =0.0427).IOP decreased from (24.7±2.8) mmHg at baseline to (16.5 ±4.9) mmHg in the valve group 12 months after surgery,and it decreased from (25.5 ± 3.6) mmHg to (19.8 ± 4.3) mmHg in the trabeculectomy group.The IOP in the valve group was significantly lower than that in the trabeculectomy group at 12 months followup (t =2.1102,P =0.0427).There was no significant difference in visual acuity,complications or medical therapy between those two groups.Conclusion Compared with trabeculectomy,Ahmed glaucoma valve implantation is an option with more persistence and same security in the treatment of glaucoma after scleral buckling.
