临床与病理杂志
臨床與病理雜誌
림상여병리잡지
International Journal of Pathology and Clinical Medicine
2015年
6期
1043-1046
,共4页
闭角型青光眼%虹膜周边切除术%前房角%超声生物显微镜
閉角型青光眼%虹膜週邊切除術%前房角%超聲生物顯微鏡
폐각형청광안%홍막주변절제술%전방각%초성생물현미경
angle-closure glaucoma%iris surrounding resection%anterior chamber angle%ultrasonic biological microscope
目的：探讨应用超声生物显微镜(ultrasound biomicroscopy，UBM)观察瞳孔阻滞型的原发性闭角型青光眼(primary angle-closure glaucoma，PACG)行传统虹膜周边切除术前后前房角的变化。方法：分析我院自2013年6月至2015年1月收治的确诊PACG(瞳孔阻滞型)26例(37眼)，男7例，女19例，年龄42~76岁，其中闭角型青光眼临床前期25眼，前驱期7眼，间歇期5眼，均行虹膜周边切除术。分析术后的治愈率：根据术前、术后应用UBM进行前房测量，对UBM提供的眼前段剖面图进行定性观察和分析，比较术前、术后小梁虹膜夹角、房角开放距离；同时观察虹膜形态的改变。结果：1)本组治愈26例36眼，97.3%(36/37)，无效1例1眼，2.7%(1/37)；2)治疗前后小梁虹膜夹角、前房角开放距离(AOD500)比较(t=2.155，2.172；P<0.05)；3)虹膜周边切除术后虹膜根部组织远离小梁网,房角粘连范围减小。结论：利用UBM观察瞳孔阻滞型闭角型青光眼行虹膜周边切除术前后前房角的变化，可以观察到经手术治疗后，前房角解剖结构的改变，根据小梁虹膜夹角、前房角开放距离、术后虹膜形态改变情况，表明临床上虹膜周边切除术是预防和治疗瞳孔阻滞型闭角型青光眼安全有效的方法。
目的：探討應用超聲生物顯微鏡(ultrasound biomicroscopy，UBM)觀察瞳孔阻滯型的原髮性閉角型青光眼(primary angle-closure glaucoma，PACG)行傳統虹膜週邊切除術前後前房角的變化。方法：分析我院自2013年6月至2015年1月收治的確診PACG(瞳孔阻滯型)26例(37眼)，男7例，女19例，年齡42~76歲，其中閉角型青光眼臨床前期25眼，前驅期7眼，間歇期5眼，均行虹膜週邊切除術。分析術後的治愈率：根據術前、術後應用UBM進行前房測量，對UBM提供的眼前段剖麵圖進行定性觀察和分析，比較術前、術後小樑虹膜夾角、房角開放距離；同時觀察虹膜形態的改變。結果：1)本組治愈26例36眼，97.3%(36/37)，無效1例1眼，2.7%(1/37)；2)治療前後小樑虹膜夾角、前房角開放距離(AOD500)比較(t=2.155，2.172；P<0.05)；3)虹膜週邊切除術後虹膜根部組織遠離小樑網,房角粘連範圍減小。結論：利用UBM觀察瞳孔阻滯型閉角型青光眼行虹膜週邊切除術前後前房角的變化，可以觀察到經手術治療後，前房角解剖結構的改變，根據小樑虹膜夾角、前房角開放距離、術後虹膜形態改變情況，錶明臨床上虹膜週邊切除術是預防和治療瞳孔阻滯型閉角型青光眼安全有效的方法。
목적：탐토응용초성생물현미경(ultrasound biomicroscopy，UBM)관찰동공조체형적원발성폐각형청광안(primary angle-closure glaucoma，PACG)행전통홍막주변절제술전후전방각적변화。방법：분석아원자2013년6월지2015년1월수치적학진PACG(동공조체형)26례(37안)，남7례，녀19례，년령42~76세，기중폐각형청광안림상전기25안，전구기7안，간헐기5안，균행홍막주변절제술。분석술후적치유솔：근거술전、술후응용UBM진행전방측량，대UBM제공적안전단부면도진행정성관찰화분석，비교술전、술후소량홍막협각、방각개방거리；동시관찰홍막형태적개변。결과：1)본조치유26례36안，97.3%(36/37)，무효1례1안，2.7%(1/37)；2)치료전후소량홍막협각、전방각개방거리(AOD500)비교(t=2.155，2.172；P<0.05)；3)홍막주변절제술후홍막근부조직원리소량망,방각점련범위감소。결론：이용UBM관찰동공조체형폐각형청광안행홍막주변절제술전후전방각적변화，가이관찰도경수술치료후，전방각해부결구적개변，근거소량홍막협각、전방각개방거리、술후홍막형태개변정황，표명림상상홍막주변절제술시예방화치료동공조체형폐각형청광안안전유효적방법。
Objective:To study the application of ultrasonic biological microscope (ultrasound biomicroscopy, UBM) observation of primary angle-closure glaucoma (PACG) surrounding the traditional iris resection before and atfer the change of anterior chamber angle.Methods: Analysis of our hospital from June 2013 to January 2015 were diagnosed angle-closure glaucoma 26 patients (37 eyes), 7 patients were male, female 19 cases, aged 42~76, the primary closed-angle glaucoma preclinical 23 eyes, 8 eyes prodromal stage, intermittent period 6 eyes, all around the iris resection. Analysis of postoperative cure rate; preoperative and postoperative application of UBM, the measurement of anterior chamber, compare the preoperative postoperative trabecular iris angle, corner open distance; at the same time observe the iris shape change.Results:1) In 23 cases were cured and 37 eyes of 97.4% (37/38), 1 case ineffective 1 eye, 2.6% (1/38); 2) before and atfer treatment of trabecular iris angle, theanterior chamber angle open distance 500 (t=2.155, 2.172;P<0.05); 3) after resection of the iris surrounding the iris root tissue away from the trabecular meshwork, adhesion corner radius reduced.Conclusion:ultrasound biomicroscope (UBM) were observed before and atfer resection of the primary closed-angle glaucoma peripheral iris anterior chamber angle changes, can observe the disease atfer the situation, determine the trabecular iris angle, anterior chamber angle open distance, postoperative iris change situation, indicates that iris surrounding clinical resection is an effective method for the prevention and treatment of angle-closure glaucoma.
