中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
8期
185-187
,共3页
小梁切除术%青光眼引流器%青光眼
小樑切除術%青光眼引流器%青光眼
소량절제술%청광안인류기%청광안
Trabeculectomy%Glaucoma drainage device%Glaucoma
目的：探讨小梁切除术联合青光眼引流器植入治疗青光眼的临床疗效。方法选取我院2011年1月~2013年1月收治的青光眼患者60例（97眼），将所有患者随机分为观察组和对照组，观察组（50眼）采用小梁切除联合青光眼引流器植入治疗，对照组（47眼）单独采用小梁切除术，并对两组治疗效果进行比较。结果两组患者术后视力恢复情况的比较，观察组明显优于对照组（P＜0.05）；眼压下降情况的比较，观察组明显优于对照组（P＜0.05）；功能性滤过泡形成的比较，观察明显大于对照组（P＜0.05）；术后并发症的比较，观察组并发症的发生率明显小于对照组（P＜0.05）。结论青光眼引流器植入联合小梁切除术治疗青光眼患者疗效确切，可明显提高患者视力，降低眼压，且并发症少，安全有效，值得临床推广。
目的：探討小樑切除術聯閤青光眼引流器植入治療青光眼的臨床療效。方法選取我院2011年1月~2013年1月收治的青光眼患者60例（97眼），將所有患者隨機分為觀察組和對照組，觀察組（50眼）採用小樑切除聯閤青光眼引流器植入治療，對照組（47眼）單獨採用小樑切除術，併對兩組治療效果進行比較。結果兩組患者術後視力恢複情況的比較，觀察組明顯優于對照組（P＜0.05）；眼壓下降情況的比較，觀察組明顯優于對照組（P＜0.05）；功能性濾過泡形成的比較，觀察明顯大于對照組（P＜0.05）；術後併髮癥的比較，觀察組併髮癥的髮生率明顯小于對照組（P＜0.05）。結論青光眼引流器植入聯閤小樑切除術治療青光眼患者療效確切，可明顯提高患者視力，降低眼壓，且併髮癥少，安全有效，值得臨床推廣。
목적：탐토소량절제술연합청광안인류기식입치료청광안적림상료효。방법선취아원2011년1월~2013년1월수치적청광안환자60례（97안），장소유환자수궤분위관찰조화대조조，관찰조（50안）채용소량절제연합청광안인류기식입치료，대조조（47안）단독채용소량절제술，병대량조치료효과진행비교。결과량조환자술후시력회복정황적비교，관찰조명현우우대조조（P＜0.05）；안압하강정황적비교，관찰조명현우우대조조（P＜0.05）；공능성려과포형성적비교，관찰명현대우대조조（P＜0.05）；술후병발증적비교，관찰조병발증적발생솔명현소우대조조（P＜0.05）。결론청광안인류기식입연합소량절제술치료청광안환자료효학절，가명현제고환자시력，강저안압，차병발증소，안전유효，치득림상추엄。
Objective To investigate the clinical efficacy of trabeculectomy combined with glaucoma drainage device implantation in the treatment of glaucoma. Methods Sixty patients (97 eyes) with glaucoma treated in our hospital from January 2011 to January 2013 were selected and randomly divided into the observation group and the control group. The observation group (50 eyes) received trabeculectomy combined with glaucoma drainage device implantation treatment and the control group (47 eyes) received single trabeculectomy. The treatment effects of the two groups were compared. Results In terms of postoperative vision recovery situation, the observation group was significantly better than the control group (P<0.05);In terms of intraocular pressure decrease, the observation group was significantly better than the control group (P<0.05);In terms of functional bleb formation, the observation group was significantly larger than the control group (P < 0.05); In terms of postoperative complications, the observation group had significantly lower incidence of complications than the control group (P < 0.05). Conclusion In the treatment of glaucoma, trabeculectomy combined with glaucoma drainage device implantation shows accurate efficacy, can significantly improve the patients' vision, reduces intraocular pressure, causes few complications and is safe and effective, thereby worthy of clinical promotion.
