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
2011年
5期
359-361
,共3页
可调节缝线%小梁切除术%青光眼
可調節縫線%小樑切除術%青光眼
가조절봉선%소량절제술%청광안
adjustable suture%trabeculectomy%glaucoma
目的 探讨青光眼小梁切除术中应用可调节缝线的效果.方法 回顾分析对照组73例(83眼)常规小梁切除术和观察组112例(127眼)常规小梁切除术的基础上加可调节缝线,比较在术后1周内浅前房的发生率,眼压的控制及两组中部分术后随访1a的眼压控制及功能性滤过泡的维持情况.结果 术后1周浅前房的发生率对照组为19.28%,观察组为9.45%,两组统计学上差异有统计学意义(χ2=5.28,P<0.05).术后1周眼压控制率对照组86.75%,观察组85.82%,两组差异无统计学意义(χ2=0.43,P>0.05),术后1 a眼压的控制率对照组为72.22%,观察组为89.29%,(χ2=6.83,P<0.01).功能性滤过泡的比率对照组79.63%,观察组为92.67%(χ2=4.30,P<0.05).结论 小梁切除术中应用可调节缝线较常规小梁切除术能更好地维持术后正常的前房,且远期控制眼压及维持功能性滤过泡效果良好.
目的 探討青光眼小樑切除術中應用可調節縫線的效果.方法 迴顧分析對照組73例(83眼)常規小樑切除術和觀察組112例(127眼)常規小樑切除術的基礎上加可調節縫線,比較在術後1週內淺前房的髮生率,眼壓的控製及兩組中部分術後隨訪1a的眼壓控製及功能性濾過泡的維持情況.結果 術後1週淺前房的髮生率對照組為19.28%,觀察組為9.45%,兩組統計學上差異有統計學意義(χ2=5.28,P<0.05).術後1週眼壓控製率對照組86.75%,觀察組85.82%,兩組差異無統計學意義(χ2=0.43,P>0.05),術後1 a眼壓的控製率對照組為72.22%,觀察組為89.29%,(χ2=6.83,P<0.01).功能性濾過泡的比率對照組79.63%,觀察組為92.67%(χ2=4.30,P<0.05).結論 小樑切除術中應用可調節縫線較常規小樑切除術能更好地維持術後正常的前房,且遠期控製眼壓及維持功能性濾過泡效果良好.
목적 탐토청광안소량절제술중응용가조절봉선적효과.방법 회고분석대조조73례(83안)상규소량절제술화관찰조112례(127안)상규소량절제술적기출상가가조절봉선,비교재술후1주내천전방적발생솔,안압적공제급량조중부분술후수방1a적안압공제급공능성려과포적유지정황.결과 술후1주천전방적발생솔대조조위19.28%,관찰조위9.45%,량조통계학상차이유통계학의의(χ2=5.28,P<0.05).술후1주안압공제솔대조조86.75%,관찰조85.82%,량조차이무통계학의의(χ2=0.43,P>0.05),술후1 a안압적공제솔대조조위72.22%,관찰조위89.29%,(χ2=6.83,P<0.01).공능성려과포적비솔대조조79.63%,관찰조위92.67%(χ2=4.30,P<0.05).결론 소량절제술중응용가조절봉선교상규소량절제술능경호지유지술후정상적전방,차원기공제안압급유지공능성려과포효과량호.
Objective To evaluate the effect of application adjustable sutures in trabeculectomy in treating primary angle closure glaucoma. Methods The 185 cases(210 eyes) with primary angle closure glaucoma were randomly divided two groups. Control group 73 cases (83 eyes) underwent conventional trabeculetomy. Observation group 112 cases(127 eyes) underwent trabeculectomy, combined with application of adjustable sutures. To compare the postoperative occurrence of shallow anterior chamber and IOP and functional filterling belbs and to analysis. Results There were 16 eyes postoperative shallow anterior chamber in control group (19.28%) while 12 eyes in observation group (9.45%), the statistic difference was significant(χ2 = 5.28, P<0.05). IOP control rate one week after operation: control group was 86.75%, observation group was 85.82% the statistic difference was not significant(χ2= 0.43, P>0.05).One year after operation, IOP control rate was 72.22% in control group, observation group 89.29%, the statistic difference was significant(χ2=6.83,P<0.01);the functional filterling belbs was 79.63% in control group, 97.67% in observation group, the statistic difference was significant(χ2= 4.30,P<0.05). Conclusion The adjustable sutures in trabeculectomy is better than conventional trabeculectomy.
