中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
17期
2585-2586
,共2页
青光眼,闭角型%小梁切除术%缝线
青光眼,閉角型%小樑切除術%縫線
청광안,폐각형%소량절제술%봉선
Glaucoma,angle-closure%Trabeculectomy%Sutures%ocular
目的：探讨小梁切除术联合可调整缝线治疗闭角型青光眼对患者眼表功能的影响。方法98例（134眼）按照数字表法随机分为两组，对照组49例（66眼），采用小梁切除术治疗，观察组49例（68眼）采用小梁切除术联合可调整缝线治疗。观察两组患者术前及术后3个月眼压变化情况、视力恢复情况及浅前房的发生情况。并对患者术后1d、3d、1个月和3个月的眼表功能进行评分。结果两组患者术后3个月眼压均有明显降低（t＝3．921、5．746，均P＜0．01），并且观察组较对照组降低更明显（t＝2．680，P＜0．05）。两组患者术后3个月视力均有明显提高（t＝2．460、2．976，均P＜0．05），并且观察组较对照组提高更明显（t＝2.062，P＜0．05）。对照组术后浅前房发生率为12．1％（8/66）；观察组术后浅前房发生率为2．9％（2/68）；观察组浅前房发生率明显少于对照组（χ2＝7．98，P＜0．01）。术后两组患者的眼表功能评分均逐渐降低，观察组患者术后1 d、3 d、1个月和3个月眼表功能评分均低于对照组（ t＝2．191、2．680、3．172、3．013，均P＜0.05）。结论小梁切除术联合可调整缝线治疗闭角型青光眼可促进患者眼表功能的恢复。
目的：探討小樑切除術聯閤可調整縫線治療閉角型青光眼對患者眼錶功能的影響。方法98例（134眼）按照數字錶法隨機分為兩組，對照組49例（66眼），採用小樑切除術治療，觀察組49例（68眼）採用小樑切除術聯閤可調整縫線治療。觀察兩組患者術前及術後3箇月眼壓變化情況、視力恢複情況及淺前房的髮生情況。併對患者術後1d、3d、1箇月和3箇月的眼錶功能進行評分。結果兩組患者術後3箇月眼壓均有明顯降低（t＝3．921、5．746，均P＜0．01），併且觀察組較對照組降低更明顯（t＝2．680，P＜0．05）。兩組患者術後3箇月視力均有明顯提高（t＝2．460、2．976，均P＜0．05），併且觀察組較對照組提高更明顯（t＝2.062，P＜0．05）。對照組術後淺前房髮生率為12．1％（8/66）；觀察組術後淺前房髮生率為2．9％（2/68）；觀察組淺前房髮生率明顯少于對照組（χ2＝7．98，P＜0．01）。術後兩組患者的眼錶功能評分均逐漸降低，觀察組患者術後1 d、3 d、1箇月和3箇月眼錶功能評分均低于對照組（ t＝2．191、2．680、3．172、3．013，均P＜0.05）。結論小樑切除術聯閤可調整縫線治療閉角型青光眼可促進患者眼錶功能的恢複。
목적：탐토소량절제술연합가조정봉선치료폐각형청광안대환자안표공능적영향。방법98례（134안）안조수자표법수궤분위량조，대조조49례（66안），채용소량절제술치료，관찰조49례（68안）채용소량절제술연합가조정봉선치료。관찰량조환자술전급술후3개월안압변화정황、시력회복정황급천전방적발생정황。병대환자술후1d、3d、1개월화3개월적안표공능진행평분。결과량조환자술후3개월안압균유명현강저（t＝3．921、5．746，균P＜0．01），병차관찰조교대조조강저경명현（t＝2．680，P＜0．05）。량조환자술후3개월시력균유명현제고（t＝2．460、2．976，균P＜0．05），병차관찰조교대조조제고경명현（t＝2.062，P＜0．05）。대조조술후천전방발생솔위12．1％（8/66）；관찰조술후천전방발생솔위2．9％（2/68）；관찰조천전방발생솔명현소우대조조（χ2＝7．98，P＜0．01）。술후량조환자적안표공능평분균축점강저，관찰조환자술후1 d、3 d、1개월화3개월안표공능평분균저우대조조（ t＝2．191、2．680、3．172、3．013，균P＜0.05）。결론소량절제술연합가조정봉선치료폐각형청광안가촉진환자안표공능적회복。
Objective To study trabeculectomy with adjustable sutures on the ocular function score in pa-tients with angle-closure glaucoma .Methods 98 cases ( 134 eyes ) were randomly divided into the two groups , the control group(n=49 cases,66 eyes) and the observation group (n=49 cases,68 eyes).The patients in the control group were operated through trabeculectomy ,while the patients in the observation group were operated through trabe-culectomy with adjustable sutures .The occurrence of the two groups of patients intraocular pressure changes , and recovery of sight,shallow anterior chamber before and after surgery three months were observed .Postoperative 1d,3d, 1m and 3m ocular function score were compared .Results Postoperative 3 months IOP were significantly lower ( t=3.921,5.746,all P<0.01),and compared with the control group ,the observation group significantly decreased (t=2.680,P<0.05).Postoperative 3 months visual acuity significantly improved in patients (t=2.460,2.976,all P<0.05),and compared with the control group,the observation group improved more significantly (t =2.062,P <0.05).The incidence of postoperative shallow anterior chamber were 12.1% in the control group and 2.9% in the observation group Shallow anterior chamber in observation group was significantly less than that in the control group (χ2 =7.98,P<0.01).The two groups of patients after ocular surface scores were decreased in the observation group after 1d,3d,1m and 3m and ocular scores were lower than that of the control group ( t =2.1901,2.680,3.172, 3.013,all P<0.05).Conclusion Trabeculectomy with adjustable sutures can promote the recovery of angle-closure glaucoma,ocular function.
