中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
22期
14-15
,共2页
李克勤%黄怀洁%杨怡%方海晏%牛梅民
李剋勤%黃懷潔%楊怡%方海晏%牛梅民
리극근%황부길%양이%방해안%우매민
青光眼%小梁切除术%浅前房
青光眼%小樑切除術%淺前房
청광안%소량절제술%천전방
Glaucoma%Trabeculectomy%Shallow anterior chamber
目的:探讨青光眼小梁切除术后浅前房形成的原因及临床处理方案。方法:选取在我院进行青光眼小梁切除术的患者108例165眼,对其临床资料进行回顾性分析。结果:发生浅前房34眼,发病率为20.6%。其中18眼由于滤过泡功能亢进所致,9眼由于结膜瓣渗漏所致,4眼由于脉络膜脱离所致,3眼由于恶性青光眼所致。结论:对行青光眼小梁切除术患者在术前及术后控制眼压,术中注意观察前房深度,及时进行处理,能取得较好效果,能够有效降低浅前房的发生率。
目的:探討青光眼小樑切除術後淺前房形成的原因及臨床處理方案。方法:選取在我院進行青光眼小樑切除術的患者108例165眼,對其臨床資料進行迴顧性分析。結果:髮生淺前房34眼,髮病率為20.6%。其中18眼由于濾過泡功能亢進所緻,9眼由于結膜瓣滲漏所緻,4眼由于脈絡膜脫離所緻,3眼由于噁性青光眼所緻。結論:對行青光眼小樑切除術患者在術前及術後控製眼壓,術中註意觀察前房深度,及時進行處理,能取得較好效果,能夠有效降低淺前房的髮生率。
목적:탐토청광안소량절제술후천전방형성적원인급림상처리방안。방법:선취재아원진행청광안소량절제술적환자108례165안,대기림상자료진행회고성분석。결과:발생천전방34안,발병솔위20.6%。기중18안유우려과포공능항진소치,9안유우결막판삼루소치,4안유우맥락막탈리소치,3안유우악성청광안소치。결론:대행청광안소량절제술환자재술전급술후공제안압,술중주의관찰전방심도,급시진행처리,능취득교호효과,능구유효강저천전방적발생솔。
Objective:To explore the causes for the formation of shallow anterior chamber after traheculectomy in patients with glauco-ma and its treatment.Methods:Select 108 cases 165 eyes of trabeculectomy patients treated in our hospital.And retrospectively analyze the Clinical data of the patients.Results:Shallow anterior chamber had been occurred in 34 eyes(20.6%) after the operation.The exces-sive drainage through filtration track,the loosening of suture,the leakage of chamber fluid and malignant glaucoma were the main causes for the formation of shallow anterior chamber formed after the operation.Conclusion:Excision of controlling IOP in patients before and after operation for glaucoma, could achieve good effect, could effectively reduce the incidence of shallow anterior chamber.