CAJ | 학술논문

目的探讨原发性闭角型青光眼虹膜周切孔切除宽度与术后近期、远期疗效关系,筛选出术后近、远期疗效的预测方法,提高虹膜周边切除术的成功率.方法 90例(116眼)原发性闭角型青光眼随机分为三组:A组(虹膜周切孔切除宽度1.5 mm),30例42眼;B组(虹膜周切孔切除宽度2 mm)30例40眼;C组(虹膜周切孔切除宽度3 mm)30例34眼,术后随诊1月以上,观察眼压、房角宽度深度、视功能、虹膜周切孔以及近、远期并发症.结果 A组:近期手术成功率为85.79%,远期手术成功率为76.19%;B组近期手术成功率87.5%,远期手术成功率82.5%;C组近期手术成功率94.11%,远期手术成功率88.23%,x2检验其差异有显著性(P＜0.05);三组术后眼压均有不同程度下降与术前比较差异均有显著性(P＜0.01);周边房角深度术后随机均值:A组≥1/3CT,术前术后比较其差异有显著性(P＜0.01);B组和C组＞1/2CT,两组术前术后比较其差异有极显著性(P＜0.05).结论虹膜周边切除术是治疗原发性闭角型青光眼安全有效方法,虹膜周切孔宽度以2～3 mm为宜,有利于防治虹膜周切孔前粘连和房角变浅变窄.
목적 탐토원발성폐각형청광안홍막주절공절제관도여술후근기、원기료효관계,사선출술후근、원기료효적예측방법,제고홍막주변절제술적성공솔.방법 90례(116안)원발성폐각형청광안수궤분위삼조:A조(홍막주절공절제관도1.5 mm),30례42안;B조(홍막주절공절제관도2 mm)30례40안;C조(홍막주절공절제관도3 mm)30례34안,술후수진1월이상,관찰안압、방각관도심도、시공능、홍막주절공이급근、원기병발증.결과 A조:근기수술성공솔위85.79%,원기수술성공솔위76.19%;B조근기수술성공솔87.5%,원기수술성공솔82.5%;C조근기수술성공솔94.11%,원기수술성공솔88.23%,x2검험기차이유현저성(P＜0.05);삼조술후안압균유불동정도하강여술전비교차이균유현저성(P＜0.01);주변방각심도술후수궤균치:A조≥1/3CT,술전술후비교기차이유현저성(P＜0.01);B조화C조＞1/2CT,량조술전술후비교기차이유겁현저성(P＜0.05).결론 홍막주변절제술시치료원발성폐각형청광안안전유효방법,홍막주절공관도이2～3 mm위의,유리우방치홍막주절공전점련화방각변천변착.
Objective To investigate the primary angle-closure glaucoma iris weeks after cutting holes cut the width of the near future, long-term effect relationship, selected after close to long-term efficacy of the forecasting methods to improve iridectomy success rate. Methods 90 cases (116 eyes) with primary angle-closure glaucoma were randomly divided into three groups:A group(the width of the iris-week cut-hole cut 1.5mm) ,30 cases 42 eyes;B group(removal of the width of the iris weeks Ceccon 2 mm) ,30 cases 40 eyes;C group(the width of the iris-week cut-lole cut 3 mm) ,30 cases 34 eyes,after over 1 month,they were followed up to observe the intraocular pressure,anterior chamber angle width of the depth, depending on the features, the iris in recent weeks, as well as cutting holes,long-term concurrency disease. Results A:recent surgery success rate of 85.79% ,long-term surgical success rate of 76. 19% ;B group of recent surgery success rate of 87.5% ,long-term surgical success rate of 82.5% ;C group of recent surgery success rate of94.11% ,long-term surgical the success rate of 88.23%, X2 test the difference was significant(P＜ 0. 05) ;3 postoperative IOP decreased in varying degrees compared with the preoperative differences were significant(P＜0.01) ;peripheral angle after deep Random mean :A group of ≥ 1/3CT,compared the difference between before and after surgery were significantly( P ＜ 0.01 ) ;B group and C group ＞ 1/2CT,2 groups were compared before and after surgery the difference was highly significant( P ＜ 0.05 ). Conclusion Iridectomy was the treatment of primary angle-closure glaucoma safe and effective method of cutting holes. The width of the iris weeks to 2～3 mmwas appropriate, beneficial to control the iris weeks before the adhesion and angle-cut hole shallow narrowing.