CAJ | 학술논문

目的探讨原发性急性闭角型青光眼术前术后的解剖结构差异,为临床手术方式的选择提供依据.方法临床病例分析研究.对2010年5月至2011年12月在铜仁市第一医院眼科使用A超测量30例(30只眼)原发性急性闭角型青光眼(acute angle-closure glaucoma,AACG)术前术后的解剖结构(包括前房深度、晶状体厚度、玻璃体腔长度、眼轴长度),同时计算相对晶状体位置及晶状体厚度/眼轴长度系数,各项均值进行对比分析(t检验).结果 AACG术前术后生物解剖结构相比,前房深度、玻璃体腔长度,术前、术后差异显著有统计学意义(P＜0.05),晶状体厚度、眼轴长度、相对晶状体位置及晶状体厚度/眼轴长度系数,术前、术后差异无统计学意义(P＞0.05).结论 AACG以浅前房、厚晶状体、眼轴短为特点.相对晶状体位置(以前房深度+ 1/2晶状体厚度与眼轴长之比值)及晶状体厚度/眼轴长度系数,可作为AACG早期诊断的指标之一.术后前房深度加深、玻璃体腔长度减少,可作为AACG疗效判断的指标之一.
목적 탐토원발성급성폐각형청광안술전술후적해부결구차이,위림상수술방식적선택제공의거.방법 림상병례분석연구.대2010년5월지2011년12월재동인시제일의원안과사용A초측량30례(30지안)원발성급성폐각형청광안(acute angle-closure glaucoma,AACG)술전술후적해부결구(포괄전방심도、정상체후도、파리체강장도、안축장도),동시계산상대정상체위치급정상체후도/안축장도계수,각항균치진행대비분석(t검험).결과 AACG술전술후생물해부결구상비,전방심도、파리체강장도,술전、술후차이현저유통계학의의(P＜0.05),정상체후도、안축장도、상대정상체위치급정상체후도/안축장도계수,술전、술후차이무통계학의의(P＞0.05).결론 AACG이천전방、후정상체、안축단위특점.상대정상체위치(이전방심도+ 1/2정상체후도여안축장지비치)급정상체후도/안축장도계수,가작위AACG조기진단적지표지일.술후전방심도가심、파리체강장도감소,가작위AACG료효판단적지표지일.
Objective To explore the anatomical differences of primary acute angle closure glaucoma (AACG) before and after operation,to provide the basis for clinical operation mode selection.Methods The anatomical structures (including the anterior chamber depth,thickness of lens,vitreous thickness,axial length) of the 30 AACG cases (30 eyes) in preoperative and postoperative were measured using ultrasound A,while the relative lens position and lens thickness/axial length coefficient,the mean contrast analysis were calculated (t test).Results The comparison of biological anatomy,anterior chamber depth,vitreous thickness before and after operation in AACG were significant difference (P ＜0.05),lens thickness,axial length,relative lens position and lens thickness and axial length of the eyes before and after operation had no significant difference (P ＞0.05).Conclusions AACG with shallow anterior chamber,thick lens,and short axial length is a characteristic.Relative lens position and lens thickness/axial length coefficients can be used as the index for the early diagnosis of AACG.Postoperative anterior chamber depth,vitreous thickness decrease can be used as the index to judge the treatment efficacy of AACG.