CAJ | 학술논문

目的：分析常用两种手术方法治疗新生血管性青光眼（neovascular glaucoma，NVG）的临床疗效。方法：将2008年6月～2012年6月在兰州军区乌鲁木齐总医院住院的42例（42眼）NVG患者分别采用Ahmed青光眼阀（Ahmed glaucoma valve，AGV）植入术与睫状体冷凝术这两种术式，对患者术后的眼压、视力、眼部并发症及疗效等情况进行回顾性分析。结果：眼压：两组病例术后眼压于术前相比均有明显下降，术后1 d、1周AGV植入组眼压明显低于睫状体冷凝组，两组之间眼压比较差异具有统计学意义（P＜0.05）；手术有效率：AGV植入组术后有效19眼，无效3眼，有效率为81.8%，睫状体冷凝组有效15眼，无效5眼，有效率为75%，两组病例的手术治疗有效率比较差异无统计学意义（P＞0.05）。结论：AGV植入术及睫状体冷凝术均是治疗NVG较为有效的临床手术方法，因睫状体冷凝术是一种眼部组织破坏性手术，仅适用于晚期或绝对期的青光眼。AGV植入术作为一种滤过性手术，对眼部组织破坏性较小，术后患者反应轻，并发症相对较少，术后视力维持稳定，对拥有一定视功能的NVG患者是一种较为安全有效的手术治疗方法。
목적：분석상용량충수술방법치료신생혈관성청광안（neovascular glaucoma，NVG）적림상료효。방법：장2008년6월～2012년6월재란주군구오로목제총의원주원적42례（42안）NVG환자분별채용Ahmed청광안벌（Ahmed glaucoma valve，AGV）식입술여첩상체냉응술저량충술식，대환자술후적안압、시력、안부병발증급료효등정황진행회고성분석。결과：안압：량조병례술후안압우술전상비균유명현하강，술후1 d、1주AGV식입조안압명현저우첩상체냉응조，량조지간안압비교차이구유통계학의의（P＜0.05）；수술유효솔：AGV식입조술후유효19안，무효3안，유효솔위81.8%，첩상체냉응조유효15안，무효5안，유효솔위75%，량조병례적수술치료유효솔비교차이무통계학의의（P＞0.05）。결론：AGV식입술급첩상체냉응술균시치료NVG교위유효적림상수술방법，인첩상체냉응술시일충안부조직파배성수술，부괄용우만기혹절대기적청광안。AGV식입술작위일충려과성수술，대안부조직파배성교소，술후환자반응경，병발증상대교소，술후시력유지은정，대옹유일정시공능적NVG환자시일충교위안전유효적수술치료방법。
Objective:To analyze common clinical efficacy of two surgical methods for treating neovascular glau-coma (neovascular glaucoma, NVG).Methods:\42 patients from June 2008 to June 2012 in Urumqi General Hospital of Lanzhou Military Region were adopted Ahmed glaucoma valve (Ahmed glaucoma valve, AGV) implantation and ciliary body cryotherapy these two procedures,the case of postoperative intraocular pressure, visual acuity, ocular complica-tions and efficacy were retrospectively analyzed. Results:IOP:IOP in the two groups were significantly decreased com-pared with the preoperative,after one day,one week AGV implantation of intraocular pressure was significantly lower than group cyclocryo therapy group,intraocular pressure difference between the two groups was statistically significant (P<0.05);operative efficiency:AGV implanttation group was effective 19,invalid 3,the effective ratewas 81.8%, effective 15 cyclocryo therapy group ineffective 5, the effective rate of 75%,the two groups were effective surgical treatment dif-ference was not statistically significant (P>0.05).Conclusion:AGVimplantation and ciliarybody cryotherapy treatment are both effective NVG clinical surgical methods,because the ciliary body cryotherapy is a devastating ocular tissue surgery,onlyfor advanced or of absolute glaucoma.AGV implantation as afiltration surgery,the smaller of the eye tissue destructive postoperative response to light,relatively few complications,visual acuity remained stable,with a certain vi-sual function for patients with NVG is a more safe and effective surgical treatment.