国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
745-746
,共2页
新生血管性青光眼%改良小梁切除%临床观察
新生血管性青光眼%改良小樑切除%臨床觀察
신생혈관성청광안%개량소량절제%림상관찰
neovascular glaucoma%modified trabeculectomy%clinical observation
目的：分析研究改良式小梁切除术对新生血管性青光眼的治疗效果。<br> 方法：我院在2008-06／2012-12期间共收治新生血管性青光眼患者44例，将其随机分成试验组（22例）和对照组（22例），其中试验组给予改良小梁切除术进行治疗，对照组给予睫状体冷凝术进行治疗，对比分析两组患者的治疗效果及并发症等情况。<br> 结果：经过治疗两组患者的眼压均较治疗前显著降低（P＜0.01），但是两组间差异不明显（P＞0．05）。试验组治疗总有效21例（95％），显著高于对照组16例（73％），差异具有统计学意义（χ2＝7．3789， P＜0．05）。同时对照组并发症的发生率及严重程度均显著高于试验组（P＜0．05）。<br> 结论：对于新生血管性青光眼患者来说，改良小梁切除术可有效降低其眼压，显著提高治疗成功率，并减少不良反应的发生，是一种安全高效的方法，应在临床中推广应用。
目的：分析研究改良式小樑切除術對新生血管性青光眼的治療效果。<br> 方法：我院在2008-06／2012-12期間共收治新生血管性青光眼患者44例，將其隨機分成試驗組（22例）和對照組（22例），其中試驗組給予改良小樑切除術進行治療，對照組給予睫狀體冷凝術進行治療，對比分析兩組患者的治療效果及併髮癥等情況。<br> 結果：經過治療兩組患者的眼壓均較治療前顯著降低（P＜0.01），但是兩組間差異不明顯（P＞0．05）。試驗組治療總有效21例（95％），顯著高于對照組16例（73％），差異具有統計學意義（χ2＝7．3789， P＜0．05）。同時對照組併髮癥的髮生率及嚴重程度均顯著高于試驗組（P＜0．05）。<br> 結論：對于新生血管性青光眼患者來說，改良小樑切除術可有效降低其眼壓，顯著提高治療成功率，併減少不良反應的髮生，是一種安全高效的方法，應在臨床中推廣應用。
목적：분석연구개량식소량절제술대신생혈관성청광안적치료효과。<br> 방법：아원재2008-06／2012-12기간공수치신생혈관성청광안환자44례，장기수궤분성시험조（22례）화대조조（22례），기중시험조급여개량소량절제술진행치료，대조조급여첩상체냉응술진행치료，대비분석량조환자적치료효과급병발증등정황。<br> 결과：경과치료량조환자적안압균교치료전현저강저（P＜0.01），단시량조간차이불명현（P＞0．05）。시험조치료총유효21례（95％），현저고우대조조16례（73％），차이구유통계학의의（χ2＝7．3789， P＜0．05）。동시대조조병발증적발생솔급엄중정도균현저고우시험조（P＜0．05）。<br> 결론：대우신생혈관성청광안환자래설，개량소량절제술가유효강저기안압，현저제고치료성공솔，병감소불량반응적발생，시일충안전고효적방법，응재림상중추엄응용。
AIM:To analyze the effect of modified trabeculectomy in the treatment of neovascular glaucoma. <br> METHODS: There were 44 cases of neovascular glaucoma enrolled during June 2008 to December 2012. They were randomly divided into experimental group (22 cases) and control group (22 cases).The experimental group were treated with the modified trabeculectomy, and the control group were treated with cyclocryotherapy.Therapeutic effect and complications between two groups were compared. <br> RESULTS: Introocular pressure in both groups were significantly lower after treatment than before treatment (P<0.01), but there was no obvious difference between two groups (P>0.05).The total effective 21 cases (95%) in experimental group was higher than that in the control group 16 cases (73%) and the difference had statistically significance (χ2=7.3789, P<0.05).At the same time, the incidence of complications and severity in control group were significantly higher than that in the experimental group (P<0.05). <br> CONCLUSION: For patients with neovascular glaucoma, modified trabeculectomy can effectively reduce the intraocular pressure, and significantly improve the treatment success rate, as well as reduce the occurrence of adverse reactions. It is a safe and effective method, so modified trabeculectomy should be applied widely in clinical practice.
