医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
8期
1513-1515
,共3页
玻璃体切除术%外科手术 ,微创性%青光眼/外科学%眼内压%治疗结果%随访研究
玻璃體切除術%外科手術 ,微創性%青光眼/外科學%眼內壓%治療結果%隨訪研究
파리체절제술%외과수술 ,미창성%청광안/외과학%안내압%치료결과%수방연구
Vitrectomy%Surgical Procedures,Minimally Invasive%Glaucoma/SU%Intraocular Pressure%Treatment Outcome%Follow-Up Studies
【目的】探讨经睫状体平坦部25G微创玻璃体切割术（玻切）治疗恶性青光眼的临床效果。【方法】选取2012年4月至2013年9月来本院眼科治疗的21例恶性青光眼患者进行25G微创玻切术，切除中轴及周边基底部玻璃体，术后随访6个月，观察手术前后眼角膜情况、前房深度、眼压及并发症的差异性。【结果】术后患者的眼角膜水肿均明显消退，前房深度由术前的（1．16±0．32）mm加深到术后的（2．37±0．59）mm ，手术前后比较差异有统计学意义（ P＜0．05）；眼压由术前的（33．23±6．81）mmHg降低到术后的（16．92±4．51）mmHg ，手术前后比较差异有统计学意义（ P＜0．05）；且手术后眼底可窥清，无严重并发症发生。【结论】25G微创玻切术能够加深前房，降低眼压，缓解症状，减少并发症，是治疗恶性青光眼安全有效的方法之一。
【目的】探討經睫狀體平坦部25G微創玻璃體切割術（玻切）治療噁性青光眼的臨床效果。【方法】選取2012年4月至2013年9月來本院眼科治療的21例噁性青光眼患者進行25G微創玻切術，切除中軸及週邊基底部玻璃體，術後隨訪6箇月，觀察手術前後眼角膜情況、前房深度、眼壓及併髮癥的差異性。【結果】術後患者的眼角膜水腫均明顯消退，前房深度由術前的（1．16±0．32）mm加深到術後的（2．37±0．59）mm ，手術前後比較差異有統計學意義（ P＜0．05）；眼壓由術前的（33．23±6．81）mmHg降低到術後的（16．92±4．51）mmHg ，手術前後比較差異有統計學意義（ P＜0．05）；且手術後眼底可窺清，無嚴重併髮癥髮生。【結論】25G微創玻切術能夠加深前房，降低眼壓，緩解癥狀，減少併髮癥，是治療噁性青光眼安全有效的方法之一。
【목적】탐토경첩상체평탄부25G미창파리체절할술（파절）치료악성청광안적림상효과。【방법】선취2012년4월지2013년9월래본원안과치료적21례악성청광안환자진행25G미창파절술，절제중축급주변기저부파리체，술후수방6개월，관찰수술전후안각막정황、전방심도、안압급병발증적차이성。【결과】술후환자적안각막수종균명현소퇴，전방심도유술전적（1．16±0．32）mm가심도술후적（2．37±0．59）mm ，수술전후비교차이유통계학의의（ P＜0．05）；안압유술전적（33．23±6．81）mmHg강저도술후적（16．92±4．51）mmHg ，수술전후비교차이유통계학의의（ P＜0．05）；차수술후안저가규청，무엄중병발증발생。【결론】25G미창파절술능구가심전방，강저안압，완해증상，감소병발증，시치료악성청광안안전유효적방법지일。
To explore clinical efficacy of 25G minimally invasive vitrectomy via flat portion of ciliary body for the treatment of patients with malignant glaucoma .[Methods] A total of 21 patients with ma-lignant glaucoma undergoing 25G minimally invasive vitrectomy that central and peripheral basal vitreous body were excised in ophthalmology department of our hospital from April 2012 to Sept .2013 were chosen .All pa-tients were followed up for 6 months after operation .The cornea ,the depth of anterior chamber ,intraocular pressure and complications before and after operation were observed .[Results]Corneal edema of patients after operation was obviously regressive .The depth of anterior chamber increased from preoperative (1 .16 ± 0 .32) mm to postoperative (2 .37 ± 0 .59)mm ,and there was significant difference between before and after operation ( P <0 .05) .Intraocular pressure decreased from preoperative (33 .23 ± 6 .81)mmHg to postoperative (16 .92 ± 4 .51)mmHg ,and there was significant difference between before and after operation ( P<0 .05) .The fun-dus oculi could be observed clearly .There was no serious complication .[Conclusion]The 25G minimally inva-sive vitrectomy via flat portion of ciliary body can deepen anterior chamber ,decrease intraocular pressure ,alle-viate the symptoms and reduce the complication ,so it is one of safe and effective methods for the treatment of malignant glaucoma .
