CAJ | 학술논문

目的观察青光眼小梁切除联合生物羊膜植入术的临床效果.方法回顾性分析2004年2月至2007年1月治疗的93例(105只眼)小梁切除联合生物羊膜植入术患者的术后眼压、滤过泡情况.分析各回访时间段的眼压情况,及滤过泡与年龄的关系.结果术后第1天,第1周,第1、3、6月,第1、2、3年各时间段眼压均在正常范围,说明此术式有良好地引流降眼压作用.对两组年龄人群(以55岁为分界)滤过泡情况比较(χ2=9.026,P=0.003<0.05)两组差异有统计学意义,在大于55岁的人群效果更好.结论小梁切除联合生物羊膜植入术能长期、有效地降低眼压,生物羊膜具有抗滤过泡纤维瘢痕化作用.
목적 관찰청광안소량절제연합생물양막식입술적림상효과.방법 회고성분석2004년2월지2007년1월치료적93례(105지안)소량절제연합생물양막식입술환자적술후안압、려과포정황.분석각회방시간단적안압정황,급려과포여년령적관계.결과 술후제1천,제1주,제1、3、6월,제1、2、3년각시간단안압균재정상범위,설명차술식유량호지인류강안압작용.대량조년령인군(이55세위분계)려과포정황비교(χ2=9.026,P=0.003<0.05)량조차이유통계학의의,재대우55세적인군효과경호.결론 소량절제연합생물양막식입술능장기、유효지강저안압,생물양막구유항려과포섬유반흔화작용.
Objective To investigate the clinical efficacy of trabeculectomy combined with biological amnion transplantation.Methods 105 eyes of 93 patients that admitted from Feb, 2004 to Jan,2007 were per-formed with transplantation of biological amnions(RuiJi)under the sclerai flap of trabeculectomies.he intraocu-lar pressure and bleb condition of patients were retrospective analyzed.The value of intraocular pressure at each follow-up; the difference of intraocular pressure between pre-and post-trabeculetomy ;the relation between age and bleb condition were observed and statistic analyzed.Results One day,one week,one month,3 month, 6month,one year,2 year and 3 year after operation, clinical observation indicated that intraocular pressure were within normal ranges.There was a correlation between groups with different ages (χ2=9.026, P=0.003<0.05), the anti-scarring effect is more apparent in patients older than 55 years.Conclusions Trabeculectomy com-bined with biological amnion transplantation can long-term effectively decrease the intraocular pressure,bio-logical amnion is potential for anti-scaring ofblebs.