CAJ | 학술논문

目的:评估巩膜瓣下双池效应式小梁切除术联合可调整缝线治疗青光眼的近期安全性及远期降眼压效果. 方法:将120例患者(120眼)随机分为对照组(62例62眼)和实验组(58例58眼),对照组行传统小梁切除术,实验组行双池效应式小梁切除术联合可调整缝线,随访1年,观察术后眼压,前房深度及滤过泡情况. 结果:实验组拆除可调整缝线后,3眼(5.17%)出现Ⅰ度浅前房,对照组Ⅰ度浅前房8眼,Ⅱ度浅前房1眼(共14.52%),两组比较差异有显著性(P < 0.05). 随访1年,实验组功能性滤过泡的形成及眼压控制率均高于对照组,差异有显著性(P < 0.05). 结论:巩膜瓣下双池效应式小梁切除术联合可调整缝线治疗青光眼安全可行,能有效控制眼压,无明显并发症.
목적:평고공막판하쌍지효응식소량절제술연합가조정봉선치료청광안적근기안전성급원기강안압효과. 방법:장120례환자(120안)수궤분위대조조(62례62안)화실험조(58례58안),대조조행전통소량절제술,실험조행쌍지효응식소량절제술연합가조정봉선,수방1년,관찰술후안압,전방심도급려과포정황. 결과:실험조탁제가조정봉선후,3안(5.17%)출현Ⅰ도천전방,대조조Ⅰ도천전방8안,Ⅱ도천전방1안(공14.52%),량조비교차이유현저성(P < 0.05). 수방1년,실험조공능성려과포적형성급안압공제솔균고우대조조,차이유현저성(P < 0.05). 결론:공막판하쌍지효응식소량절제술연합가조정봉선치료청광안안전가행,능유효공제안압,무명현병발증.
Objective To evaluate the recent safety and long-term curative effect of double-pool shaping trabeculectomy with adjustable sutures in glaucoma. Methods A hundred and twenty patients with glaucoma were randomly divided into two groups, in which the control group in 62 patients underwent traditional trabeculectomy and the experimental group in 58 patients underwent double-pool shaping trabeculectomy with adjustable sutures. All patients were followed up for one year. Postoprative intraocular pressure, anterior chamber depth and filtering bleb were observed. Results In the experimental group, after the demolition of adjustable sutures, 3 eyes(5.17%) suffered from I degree shallow anterior chamber. By contrast, 8 eyes suffered from I degree shallow anterior chamber, and 1 eye (total 14.52%) suffered from Ⅱ degree shallow anterior chamber in the control group (P < 0.05). Following up in one year, the functional filtering bleb and intraocular pressure got better in the experimental group than in the control group (P < 0.05). Conclusion Double-pool shaping trabeculectomy with adjustable sutures is a safe and feasible method for glaucoma, in which it can effectively reduce intraocular pressure without complications.