CAJ | 학술논문

目的观察术中可调整缝线在小梁切除术中应用的临床效果.方法对2010年1月至2012年10月在湖州市中心医院眼科就诊的109例(121只眼)原发性青光眼患者行小梁切除术,均采用术中可调缝线缝合巩膜瓣.观察术后前房深度、眼压、滤过泡形态等情况.结果术后1周内有3只眼发生Ⅰ度浅前房,2只眼发生Ⅱ度浅前房,未有发生Ⅲ度浅前房的眼,浅前房发生率为4.13％ (5/121).术后一周眼压9～20 mmHg,平均12.5 mmHg,术后1个月眼压9～26 mmHg,平均14.3 mmHg.术后3个月,Ⅰ型滤过泡32只眼,Ⅱ型滤过泡86只眼,Ⅲ型滤过泡2只眼,Ⅳ型滤过泡1只眼.功能性滤过泡118只眼.结论小梁切除术采用术中可调整缝线简单、安全、有效,值得临床推广.
목적 관찰술중가조정봉선재소량절제술중응용적림상효과.방법 대2010년1월지2012년10월재호주시중심의원안과취진적109례(121지안)원발성청광안환자행소량절제술,균채용술중가조봉선봉합공막판.관찰술후전방심도、안압、려과포형태등정황.결과 술후1주내유3지안발생Ⅰ도천전방,2지안발생Ⅱ도천전방,미유발생Ⅲ도천전방적안,천전방발생솔위4.13％ (5/121).술후일주안압9～20 mmHg,평균12.5 mmHg,술후1개월안압9～26 mmHg,평균14.3 mmHg.술후3개월,Ⅰ형려과포32지안,Ⅱ형려과포86지안,Ⅲ형려과포2지안,Ⅳ형려과포1지안.공능성려과포118지안.결론 소량절제술채용술중가조정봉선간단、안전、유효,치득림상추엄.
Objective To observe the clinical effect of intraoperative adjustable suture in trabeculectomy.Methods Trabeculectomy were done in 109 cases (121 eyes) of primary glaucoma,intraoperative adjustable suture was used in scleral flap.Postoperative anterior chamber depth,intraocular pressure and filtering bleb were observed.Results Within 1 week after operation,shallow anterior chamber of degree Ⅰ occurred in 3 eyes and shallow anterior chamber of degree Ⅱ in 2 eyes,no shallow anterior chamber of degree Ⅲ occurred.The shallow anterior chamber rate was 4.13％.The intraocular pressure was 9-20mmHg (averaged 12.5mmHg) in 1 week after operation and 9-26mmHg (averaged 14.3mmHg) in 1 month after operation.In 3 months after operation,degree Ⅰ filtering bleb was in 32 eyes,degree Ⅱ filtering bleb in 86 eyes,degree Ⅲ filtering bleb in 2 eyes,degree Ⅳ filtering bleb was in 1 eye,and functional filtering bleb was in 118 eyes (97.5％).Conclusions Intraoperative adjustable suture in trabeculectomy is simple,safe and effective.