CAJ | 학술논문

目的：比较复合式小梁切除术与810 nm激光经巩膜睫状体光凝术对青光眼患者临床疗效。方法2013年1月－2014年6月确诊青光眼70例，根据其不同的手术方式将其分为观察组与对照组，观察组47例57眼采用睫状体光凝术，对照组23例31眼采取复合式小梁切除术，比较两组患者治疗前后的视力、眼压变化、术后并发症及转归情况。结果两组治疗前后的视力比较无明显差异。治疗后1周、3月对照组患者的眼压明显优于观察组，末次随访时比较差异无统计学意义（P＞0．05）。观察组再次手术的比例为27．66％（13／47），对照组为8．70％（2／23），两组间比较差异有统计学意义（P＜0．01）。结论睫状体光凝术与复合式小梁切除术相比操作更为简便，其短期降眼压效果不如小梁切除术，需辅助降眼压药物或再次手术治疗，远期降眼压及恢复视力效果与小梁切除术相比无明显差异。
목적：비교복합식소량절제술여810 nm격광경공막첩상체광응술대청광안환자림상료효。방법2013년1월－2014년6월학진청광안70례，근거기불동적수술방식장기분위관찰조여대조조，관찰조47례57안채용첩상체광응술，대조조23례31안채취복합식소량절제술，비교량조환자치료전후적시력、안압변화、술후병발증급전귀정황。결과량조치료전후적시력비교무명현차이。치료후1주、3월대조조환자적안압명현우우관찰조，말차수방시비교차이무통계학의의（P＞0．05）。관찰조재차수술적비례위27．66％（13／47），대조조위8．70％（2／23），량조간비교차이유통계학의의（P＜0．01）。결론첩상체광응술여복합식소량절제술상비조작경위간편，기단기강안압효과불여소량절제술，수보조강안압약물혹재차수술치료，원기강안압급회복시력효과여소량절제술상비무명현차이。
Objective To compare the clinical curative effect between combined trabeculectomy and 810 nm laser through scleral ciliary body photocoagulation method in the treatment for glaucoma patients.Methods Selected 70 patients who were diag-nosed with glaucoma from January 2013 to June 2014 in our hospital.According to different operation, they were divided into observa-tion group and control group.47 cases of 57 eyes in the observation group received ciliary body photocoagulation and 23 cases of 31 eyes in the control group received combined trabeculectomy.Compared visual acuity, intraocular pressure before and after treatment , postoperative complications and outcome in two groups.Results The visual acuity in the two groups before and after treatment had no significant difference.1 week and 3 months after treatment, intraocular pressure in observation group was better than control group, while at the time of the last follow-up, there was no significant difference ( P>0.05 ) .Reoperation rate of observation group was 27.66%(13/47) and control group was 8.70%(2/23).There was significant differences between the two groups (P<0.01).Con-clusion Compared with trabeculectomy operation, TDCP in the treatment of glaucoma is more simple but its short-term effects is not as good as trabeculectomy and should be treated with auxiliary drug or reoperation.Long-term effects and restored vision effect has no ob-vious difference between two methods.