CAJ | 학술논문

目的探讨青光眼滤过术后浅前房的发生原因及处理方法.方法分析施行穿透性或非穿透性小梁手术的青光眼患者共158例(186眼)的术后情况.结果 ①术后浅前房:穿透性小梁手术组(93例)32眼,发生率34.41%;非穿透性小梁手术组(93例)3例,发生率为3.23%,两组差异有显著统计学意义(χ2=7.891,P=0.003);②浅前房的原因:35例浅前房中,脉络膜脱离20眼(占57.14%),引流过畅8眼(22.86%),房水生成不足4眼(11.43%),结膜渗漏2眼(5.71%),恶性青光眼1眼(2.86%);③浅前房发生的多因素分析表明,与青光眼类型(回归系数β=4.214,P<0.01)及年龄(β=5.176,P<0.01)有显著相关性,与性别(β=0.363,P=0.859)无关.结论非穿透小梁切除术可显著降低浅前房的发生率;术者应注意浅前房的易发因素以降低术后浅前房发生率.
목적 탐토청광안려과술후천전방적발생원인급처리방법.방법 분석시행천투성혹비천투성소량수술적청광안환자공158례(186안)적술후정황.결과 ①술후천전방:천투성소량수술조(93례)32안,발생솔34.41%;비천투성소량수술조(93례)3례,발생솔위3.23%,량조차이유현저통계학의의(χ2=7.891,P=0.003);②천전방적원인:35례천전방중,맥락막탈리20안(점57.14%),인류과창8안(22.86%),방수생성불족4안(11.43%),결막삼루2안(5.71%),악성청광안1안(2.86%);③천전방발생적다인소분석표명,여청광안류형(회귀계수β=4.214,P<0.01)급년령(β=5.176,P<0.01)유현저상관성,여성별(β=0.363,P=0.859)무관.결론 비천투소량절제술가현저강저천전방적발생솔;술자응주의천전방적역발인소이강저술후천전방발생솔.
Objective To analyze the cauls for the formation of shallow anterior chamber after trabe-culectomy in patients with glaucoma and its treatment. Methods A total of 186 eyes of 158 subjects with glau-coma who underwent penetrating and non-penetrating trabeculectomy were reviewed retrospectively. Results Shallow anterior chamber occurred in 32 eyes (32/93,34.41%) in penentrating trabeculectomy group,3 eyes (3/93,3. 23%) in non-penetrating trabeculectomy group. Choroidal detachment (20, 57.17%), excessive drainage through filtration track (8,22.86%), low production of aqueous humor (4,11.43%), the leakage of chamber fluid (2,5.71%) and malignant glaucoma (1.2.86%) were the main causes for the development of shallow anterior chamber postoperatively. The correlations between the development of shallow anterior chamber and the type of glaucoma (β=4.214, P<0.001), and age (β=5.176, P<0.001) were statistically signifi-cant. It was not associated with gender (β=0.363, P=0.859). Conclusion Non-penetrating trabeculectomy is a safe technique that significantly reduces the incidence of immediate postoperative shallow anterior chamber. Attention should be paid to the risk factors of the development of shallow anterior chamber postoperatively.