当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
21期
82-83
,共2页
复合式小梁切除术%青光眼%临床疗效
複閤式小樑切除術%青光眼%臨床療效
복합식소량절제술%청광안%림상료효
Compound trabeculectomy%Glaucoma%Clinical effect
目的探讨复合式小梁切除术治疗青光眼的临床疗效。方法选取2009年9月-2011年9月江门市中心医院收治的青光眼患者46例（46眼），随机分为两组，各23例（23眼）。对照组给予传统小梁切除术治疗，观察组给予复合式小梁切除术治疗，比较两组患者的临床疗效。结果观察组患者术后视力不变5例，视力提高17例，视力下降1例，视力提高率73.91%；对照组患者术后视力不变7例，视力提高12例，视力下降4例，视力提高率52.17%。观察组手术前眼压为(28.12±3.12)mmHg，手术后眼压为(15.32±2.12)mmHg；对照组手术前眼压为(27.98±3.87)mmHg，手术后眼压为(18.31±2.46)mmHg。手术后观察组出现浅前房1例，术后并发症发生率4.35%；对照组出现浅前房2例，脉络膜脱离1例，术后并发症发生率13.04%。观察组视野改善21例，视野改善率为91.30%；对照组视野改善18例，视野改善率为78.26%。结论复合式小梁切除术在治疗青光眼上具有显著的临床疗效，患者的视力、眼压恢复、视野改善情况明显优于对照组，值得临床推广使用。
目的探討複閤式小樑切除術治療青光眼的臨床療效。方法選取2009年9月-2011年9月江門市中心醫院收治的青光眼患者46例（46眼），隨機分為兩組，各23例（23眼）。對照組給予傳統小樑切除術治療，觀察組給予複閤式小樑切除術治療，比較兩組患者的臨床療效。結果觀察組患者術後視力不變5例，視力提高17例，視力下降1例，視力提高率73.91%；對照組患者術後視力不變7例，視力提高12例，視力下降4例，視力提高率52.17%。觀察組手術前眼壓為(28.12±3.12)mmHg，手術後眼壓為(15.32±2.12)mmHg；對照組手術前眼壓為(27.98±3.87)mmHg，手術後眼壓為(18.31±2.46)mmHg。手術後觀察組齣現淺前房1例，術後併髮癥髮生率4.35%；對照組齣現淺前房2例，脈絡膜脫離1例，術後併髮癥髮生率13.04%。觀察組視野改善21例，視野改善率為91.30%；對照組視野改善18例，視野改善率為78.26%。結論複閤式小樑切除術在治療青光眼上具有顯著的臨床療效，患者的視力、眼壓恢複、視野改善情況明顯優于對照組，值得臨床推廣使用。
목적탐토복합식소량절제술치료청광안적림상료효。방법선취2009년9월-2011년9월강문시중심의원수치적청광안환자46례（46안），수궤분위량조，각23례（23안）。대조조급여전통소량절제술치료，관찰조급여복합식소량절제술치료，비교량조환자적림상료효。결과관찰조환자술후시력불변5례，시력제고17례，시력하강1례，시력제고솔73.91%；대조조환자술후시력불변7례，시력제고12례，시력하강4례，시력제고솔52.17%。관찰조수술전안압위(28.12±3.12)mmHg，수술후안압위(15.32±2.12)mmHg；대조조수술전안압위(27.98±3.87)mmHg，수술후안압위(18.31±2.46)mmHg。수술후관찰조출현천전방1례，술후병발증발생솔4.35%；대조조출현천전방2례，맥락막탈리1례，술후병발증발생솔13.04%。관찰조시야개선21례，시야개선솔위91.30%；대조조시야개선18례，시야개선솔위78.26%。결론복합식소량절제술재치료청광안상구유현저적림상료효，환자적시력、안압회복、시야개선정황명현우우대조조，치득림상추엄사용。
Objective To investigate the clinical effect of compound trabeculectomy for treatment of glaucoma. Methods From Sep. 2009 to Sep. 2011 in patients with glaucoma 46 cases (46 eyes), were randomly divided into two groups,the observation group of 23 cases (23 eyes),23 cases in the control group (23 cases),control group was given traditional trabeculectomy for treatment, observation group was given compound small Liang Qie in addition to treatment, compared two groups of patients with clinical curative effect.Results The observation group patients remained unchanged in 5 cases, the visual acuity improved in 17 cases, decreased visual acuity in 1 cases, the visual acuity increased rate of 73. 91%;7 cases of unchanged visual acuity in the patients, the visual acuity improved in 12 cases,4 cases of decreased visual acuity, visual acuity improved rate of 52.17%.The observation group before operation, IOP was (28.12±3.12)mmHg,as the intraocular pressure after operation (15.32± 2.12)mmHg;the control group before operation, IOP was (27.98 ±3.87)mmHg, as the intraocular pressure after operation (18.31± 2.46) mmHg. The observation group of shallow anterior chamber after operation in 1 cases,the rate of postoperative complications was 4.35%;the control group of 2 cases of shallow anterior chamber,choroidal detachment in 1 cases,postoperative complication rate was 13.04%.The observation group vision improved in 21 cases,visual improvement rate was 91.30%;the control group vision improved in 18 cases, improve the rate of vision 78.26%.Conclusion Compound trabeculectomy has signifcant clinical effcacy in the treatment of glaucoma, visual acuity, intraocular pressure,vision recovered signifcantly better than the control group, worthy of clinical use.
