CAJ | 학술논문

目的观察小梁切除术联合结膜瓣下植入生物羊膜对难治性青光眼的疗效.方法随机选择64例(64眼)难治性青光眼,配对分为两组,分别施行小梁切除术(A组)或小梁切除联合结膜瓣下植入生物羊膜(B组).术后观察眼压、滤过泡、术后并发症等情况.结果随访30个月,手术成功者A组共14眼,成功率48.28%;B组26眼,成功率86.67%,两组差异有统计学意义(x2=2.431,P=0.027).两组术后并发症无显著差异.结论小梁切除术联合结膜瓣下植入羊膜能显著提高难治性青光眼滤过手术的成功率.
목적 관찰소량절제술연합결막판하식입생물양막대난치성청광안적료효.방법 수궤선택64례(64안)난치성청광안,배대분위량조,분별시행소량절제술(A조)혹소량절제연합결막판하식입생물양막(B조).술후관찰안압、려과포、술후병발증등정황.결과 수방30개월,수술성공자A조공14안,성공솔48.28%;B조26안,성공솔86.67%,량조차이유통계학의의(x2=2.431,P=0.027).량조술후병발증무현저차이.결론 소량절제술연합결막판하식입양막능현저제고난치성청광안려과수술적성공솔.
Objective To observe the effect of bio-amnion implantation in conjunctive flap used in refractory glaucoma trabeculectomy. Methods Sixty-four cases (64 eyes) of refractory glaucoma were randomly divided into 2 groups,32 cases with refractory glaucoma after simplical trabeculectomy were chosen for group A.In group B ,32 cases with refractory glaucoma after trabeculectomy with amniotic membrane transplanted at random. We observed the effect of intraocular pressure, filtrate bleb and complications. The follow-up was 30 months. Results The cumulative success rate in amniotic membrane group was 86.67% (26 eyes) ,while that in control group was 48.28% (14 eyes). The difference between the two groups was significant. (x2 = 2.431, P= 0.027), but the incidence of complications had no obvious difference between the two groups. Conclusion Bio-amnion implantation in conjunctive flap can improv effectively the rate of success in refractory glaucoma trabeculectomy.