CAJ | 학술논문

目的观察小梁切除术联合生物羊膜移植术治疗慢性闭角型青光眼的临床效果及并发症.方法 71例(120只眼)慢性闭角型青光眼行小梁切除术联合生物羊膜移植术,术后随访12个月,观察术后前房、眼压、视力及滤过泡等情况.结果术后3d、1周、2周、1个月、2个月、6个月及12个月眼压为(13.27±4.323)mmHg至(16.87±4.542)mmHg(1 mmHg =0.133 kPa),与术前的(28.97±8.360) mmHg相比,差异均有统计学意义(P＜0.05).术后1个月视力无明显变化(P＞0.05),均无严重并发症发生.结论小梁切除术联合生物羊膜移植术治疗慢性闭角型青光眼临床效果显著,并发症少,能有效降低眼压,减少术后瘢痕化,促进滤过泡形成.
목적 관찰소량절제술연합생물양막이식술치료만성폐각형청광안적림상효과급병발증.방법 71례(120지안)만성폐각형청광안행소량절제술연합생물양막이식술,술후수방12개월,관찰술후전방、안압、시력급려과포등정황.결과술후3d、1주、2주、1개월、2개월、6개월급12개월안압위(13.27±4.323)mmHg지(16.87±4.542)mmHg(1 mmHg =0.133 kPa),여술전적(28.97±8.360) mmHg상비,차이균유통계학의의(P＜0.05).술후1개월시력무명현변화(P＞0.05),균무엄중병발증발생.결론 소량절제술연합생물양막이식술치료만성폐각형청광안림상효과현저,병발증소,능유효강저안압,감소술후반흔화,촉진려과포형성.
Objective To observe the clinical efficacy and postoperative complications of trabeculectomy combined with amniotic membrane grafting for chronic angle-closure glaucoma.Methods A total of 120 eyes of 71 patients with chronic angle-closure glaucoma were treated with trabeculectomy combined with amniotic menbrane grafting.The follow-up time was 12 months.And the anterior chamber, intraocular pressure, visual acuity, filtering bleb and complications after the operation were observed.Results At postoperative 3 d, 1 w, 2 w, 1,2, 6 and 12 month, the intraocular pressure were between (13.27 ±4.323) mmHg and (16.87 ±4.542) mmHg (1 mmHg =0.133 kPa).Compared with preoperative intraocular pressure, which was (28.97 ± 8.360) mmHg, the differences were statistically significant (P ＜ 0.05).The difference between peroperative visual acuity and the postoperative one 1 month after surgery was not statistically significant (P ＞ 0.05).No obvious complications occurred.Conclusion The clinical efficacy of improved trabeculectomy combined with amniotic membrane grafting for chronic angle-closure glaucoma is reliable with few complications, which can decrease intraocular pressure, reduce postoperative scarring and promote filtering bleb formation.