CAJ | 학술논문

目的探讨复合式三角形小梁翻转移位术,治疗青光跟的临床效果.方法对148例(156只眼)青光眼患者均在常规小梁切除术的基础上,0.05%丝裂霉素C棉片置于巩膜瓣下3min后用80ml生理盐水冲洗,对拟切除的包括小梁在内的深层巩膜组织(4mm×2.5mm×2.5mm)不完全切除.顶部有1mm巩膜未切,以其为蒂将其向后翻转,固定缝合于巩膜床上.术毕时前房注气形成前房.术后随访6～48个月.结果 156只眼中154只眼眼压<21mmHg,成功率97.4%,2只眼眼压在>21mmHg,失败率2.6%.结论采用复合式三角形小梁翻转移位术治疗青光眼,能有效减轻术后滤过道阻塞,从而有效控制眼压,减少术后复发.该术式操作简单,且安全、有效.
목적 탐토복합식삼각형소량번전이위술,치료청광근적림상효과.방법 대148례(156지안)청광안환자균재상규소량절제술적기출상,0.05%사렬매소C면편치우공막판하3min후용80ml생리염수충세,대의절제적포괄소량재내적심층공막조직(4mm×2.5mm×2.5mm)불완전절제.정부유1mm공막미절,이기위체장기향후번전,고정봉합우공막상상.술필시전방주기형성전방.술후수방6～48개월.결과 156지안중154지안안압<21mmHg,성공솔97.4%,2지안안압재>21mmHg,실패솔2.6%.결론 채용복합식삼각형소량번전이위술치료청광안,능유효감경술후려과도조새,종이유효공제안압,감소술후복발.해술식조작간단,차안전、유효.
Objective To study the clinical effects of complexed turn-over transposition of triangular trabeculectomy on glaucoma.Methods Based on the 148 cases (156 eyes) of glaucoma patients who received conventional trabeculectomy, after 0.05% mitomycin C cotton sheet placed under the scleral flap for 3 minutes , then fully washed with saline.Trabecular meshwork and deep scleral tissue (4mm×2.5mm×2.5mm) was not completely removed.The top 1mm of sclera was not cut, but reversed to back, sutured in the sclera bed.Surgery was completed after air injection to form the anterior chamber.Postoperative follow-up was 6-48 months.Results The intraocular pressure was lower than 21mmHg in 154 eyes and higher than 21mmHg in 2 eyes.The success rate and failed rate were 97.4 % and 2.6 % respectively .Conclusions The modified turn-over transposition of triangular trabeculectomy is safe and easy to perform, can effectively relieve the postoperative blocking of the filtration canal, control postoperative IOP properly and reduce postoperative recurrence.