CAJ | 학술논문

目的：评价激光周边虹膜切除术和小梁切除术在治疗早期慢性闭角型青光眼的远期疗效。 　　方法：对98例102眼早期慢性闭角型青光眼患者,随机分为A组50例54眼行周边虹膜切除术和B组48例48眼行小梁切除术。追踪观察3~8a,比较两组术后视力、眼压、前房角、视野及杯/盘比值的变化情况。 　　结果：A 组视力下降24眼,眼压>21 mmHg (1 mmHg=0.133kPa)者22眼,房角粘连>180°21眼,视野缩小21眼,C/D扩大21眼；B组依次为10眼,5眼,4眼,4眼和4眼,两组比较差异有统计学意义(P<0.05)。 　　结论：早期慢性闭角型青光眼手术治疗,可取得良好的疗效,远期疗效小梁切除术明显优于虹膜周边切除术。
목적：평개격광주변홍막절제술화소량절제술재치료조기만성폐각형청광안적원기료효。 　　방법：대98례102안조기만성폐각형청광안환자,수궤분위A조50례54안행주변홍막절제술화B조48례48안행소량절제술。추종관찰3~8a,비교량조술후시력、안압、전방각、시야급배/반비치적변화정황。 　　결과：A 조시력하강24안,안압>21 mmHg (1 mmHg=0.133kPa)자22안,방각점련>180°21안,시야축소21안,C/D확대21안；B조의차위10안,5안,4안,4안화4안,량조비교차이유통계학의의(P<0.05)。 　　결론：조기만성폐각형청광안수술치료,가취득량호적료효,원기료효소량절제술명현우우홍막주변절제술。
?AlM: To evaluate the long - term effects of laser peripheral iridectomy ( LPl ) and trabeculectomy in treating early chronic angle-closure glaucoma. ?METHODS: Ninety-eight patients (102 eyes) with early chronic primary angle-closure glaucoma were randomly divided into two groups. Group A of 50 patients (54 eyes) was treated with LPl and group B of 48 patients (48 eyes) with trabeculectomy. After 3 - 8y of follow - up observation, comparison would be made from the perspectives of postoperative eyesight, intraocular pressure, anterior chamber angle, visual field and cup/disc ratio ( C/D) . ?RESULTS:ln group A, 24 eyes with eyesight declining, 22 eyes with theintraocular pressure>21mmHg (1mmHg=0. 133kPa), 21 eyes with chamber angle synechia >180o, 21 eyes with visual field narrowed, 21 eyes with C/D ratio enlarged. The results of group B for the same items were 10, 5, 4, 4, 4 eyes respectively. The comparative difference was statistically significant (P<0. 05). ?CONCLUSlON:Good effects will be achieved for early-stage chronic angle - closure glaucoma with surgical method. Trabeculectomy is obviously better than LPl for the long-term effects.