CAJ | 학술논문

目的分析青白联合手术方式在持续高眼压状态青光眼手术中的有效性和安全性.方法临床病例对照研究.对2013年1月至2014年12月在中国医科大学附属第一医院眼科,应用对比分析青白联合手术组与青白联合+放液手术组在改善63例(63只眼),急性闭角型青光眼急性发作期持续高眼压状态的患者视力、眼压、房角、中央前房深度方面的效果.结果与术前相比青白联合手术组与青白联合+放液手术组,术后均可以缓解持续高眼压状态的患者视力、眼压、房角、中央前房深度,差异有统计学意义(P＜0.05);与单纯青白联合手术组相比,青白联合+放液手术组可以明显降低患者眼压,差异有统计学意义(P＜0.05).结论青白联合手术与青白联合+放液手术,在治疗持续高眼压状态青光眼方面均有效,青白联合+放液术缓解眼压效果更加确切且安全性较高.
목적 분석청백연합수술방식재지속고안압상태청광안수술중적유효성화안전성.방법 림상병례대조연구.대2013년1월지2014년12월재중국의과대학부속제일의원안과,응용대비분석청백연합수술조여청백연합+방액수술조재개선63례(63지안),급성폐각형청광안급성발작기지속고안압상태적환자시력、안압、방각、중앙전방심도방면적효과.결과 여술전상비청백연합수술조여청백연합+방액수술조,술후균가이완해지속고안압상태적환자시력、안압、방각、중앙전방심도,차이유통계학의의(P＜0.05);여단순청백연합수술조상비,청백연합+방액수술조가이명현강저환자안압,차이유통계학의의(P＜0.05).결론 청백연합수술여청백연합+방액수술,재치료지속고안압상태청광안방면균유효,청백연합+방액술완해안압효과경가학절차안전성교고.
Objective Analysis the effectiveness and safety of trabeculectomy combined with cataract extraction for acute primary angle closure glaucoma under persistent ocular hypertension.Methods 63cases (63eyes)of acute primary angle closure glaucoma under persistent ocular hypertension were divided into two groups.(group 1:only trabeculectomy combined with cataract extraction.group 2:combined vitreous aspiration).Comparative analysis of the two group included preoperative and postoperative visual acuity,intraocular pressure,anterior chamber angle and central anterior chamber depth.Results Compared with the preoperative,there was difference of postoperative at visual acuity,intraocular pressure,anterior chamber angle and central anterior chamber depth.(P ＜0.05).The group2 can significantly reduce the intraocular pressure(P ＜0.05).Conclusions Trabeculectomy combined with cataract extraction is effective in the treatment of acute primary angle closure glaucoma under persistent ocular hypertension.The combined vitreous aspiration group was more precise and higher security at IOP lowering effect.