CAJ | 학술논문

目的观察分析青光眼小梁切除术后低眼压性浅前房的发病病因及其防治方法,总结其处理效果及临床经验.方法选取我院2009年6月至2012年6月186例(236眼)青光眼行小梁切除术治疗的患者,对其术后并发症及处理的情况进行回顾性分析.结果186例患者(236眼)中,术后发生低眼压性浅前房并发症有18例(18眼),占7.63%,采取保守治疗后痊愈有16例,治愈率为88.9%,余下2例疗效欠佳,后改为行切口修补术治疗,皆治愈出院,还有1例改为行前房重建术治疗,也治愈出院,随访半年,无再次并发低眼压性浅前房案例.结论低眼压性浅前房是青光眼小梁切除术后常见的并发症,应术后给予积极预防,一旦发现,应给予对症处理,可先采取保守治疗,疗效不理想可对酌情给予手术治疗,改善预后,具有重要的临床意义.
목적관찰분석청광안소량절제술후저안압성천전방적발병병인급기방치방법,총결기처리효과급림상경험.방법선취아원2009년6월지2012년6월186례(236안)청광안행소량절제술치료적환자,대기술후병발증급처리적정황진행회고성분석.결과186례환자(236안)중,술후발생저안압성천전방병발증유18례(18안),점7.63%,채취보수치료후전유유16례,치유솔위88.9%,여하2례료효흠가,후개위행절구수보술치료,개치유출원,환유1례개위행전방중건술치료,야치유출원,수방반년,무재차병발저안압성천전방안례.결론저안압성천전방시청광안소량절제술후상견적병발증,응술후급여적겁예방,일단발현,응급여대증처리,가선채취보수치료,료효불이상가대작정급여수술치료,개선예후,구유중요적림상의의.
Objective To observe the the analysis after trabeculectomy hypotony shallow anterior chamber incidence etiology and prevention methods, and summarize the treatment effect and clinical experience. Methods Our hospital 186 cases from June 2009 to June 2012 (236) the glaucoma trabeculectomy treated patients, its retrospective analysis of postoperative complications and deal with the situation. Results Of the 186 patients (236), the postoperative shallow anterior chamber hypotony complications in 18 cases (18), accounting for 7.63%, taken after conservative treatment cured 16 cases, the cure rate was 88.9%, and the remaining two cases of poor effcacy after instead incision repair in the treatment, are cured, there are 1 cases to line the anterior chamber reconstruction treatment also cured, follow-up six months, no complicated by the low-tension shallow anterior chamber case again. Conclusion The low-tension shallow anterior chamber after trabeculectomy common complication, should actively prevent postoperative give, once discovered, should be given symptomatic treatment, can be treated conservatively, the effect is not ideal granting surgery treatment and improve the prognosis, has important clinical signifcance.