CAJ | 학술논문

目的：通过对原发性闭角型青光眼术后进行跟踪调查研究和分析，研究导致恶性青光眼的相关因素。方法随机抽取2011年1月至2014年7月期间进行原发性闭角型青光眼患者570例712眼作为研究对象，其中男性269例305眼，女性301例407眼，根据手术后患者是否出现恶性青光眼的情况将患者分为恶性青光眼组（11例17眼）和非恶心青光眼组（559例695眼），其中发生恶性青光眼病情占总患病眼数比率为2.38％。对两组患者的一般资料、前房深度、晶体厚度、房角结构和眼轴长度等情况进行检测情况进行分析。结果非恶性青光眼组患者的平均年龄在64±5.8岁，相比恶性青光眼组的平均年龄57±6.2岁，明显偏高，两组间年龄的差异具有统计学意义（ P ﹤0.05）；非恶性青光眼组患者的眼压平均处于（22.6±2.9）Hg，与恶性青光眼组患者的平均眼压（34.1±4.9）Hg 相比，明显偏低，两组间年龄的差异具有统计学意义（ P ﹤0.05）；同时非恶心青光眼组患者的平均眼轴长度为（23.2±1.1）mm，相比恶心青光眼组患者的平均眼轴长度（21.7±0.5）mm，明显偏高，两组差异具有统计学意义（ P ﹤0.05）。结论年龄较轻、术前眼压较高及眼轴长度较短的原发性闭角型青光眼术后更易发生恶性青光眼。
목적：통과대원발성폐각형청광안술후진행근종조사연구화분석，연구도치악성청광안적상관인소。방법수궤추취2011년1월지2014년7월기간진행원발성폐각형청광안환자570례712안작위연구대상，기중남성269례305안，녀성301례407안，근거수술후환자시부출현악성청광안적정황장환자분위악성청광안조（11례17안）화비악심청광안조（559례695안），기중발생악성청광안병정점총환병안수비솔위2.38％。대량조환자적일반자료、전방심도、정체후도、방각결구화안축장도등정황진행검측정황진행분석。결과비악성청광안조환자적평균년령재64±5.8세，상비악성청광안조적평균년령57±6.2세，명현편고，량조간년령적차이구유통계학의의（ P ﹤0.05）；비악성청광안조환자적안압평균처우（22.6±2.9）Hg，여악성청광안조환자적평균안압（34.1±4.9）Hg 상비，명현편저，량조간년령적차이구유통계학의의（ P ﹤0.05）；동시비악심청광안조환자적평균안축장도위（23.2±1.1）mm，상비악심청광안조환자적평균안축장도（21.7±0.5）mm，명현편고，량조차이구유통계학의의（ P ﹤0.05）。결론년령교경、술전안압교고급안축장도교단적원발성폐각형청광안술후경역발생악성청광안。
Objective Through tracking survey research and analysis the clinical data of the patients with primary angle - closure glauco-ma been treated,and to research the related factors of occurring malignant glaucoma. Methods There were 570 cases of patients with primary an-gle - closure glaucoma with 712 sick eyes come to our hospital for treatment at the time from January 2011 to July 2014,there were 269 cases of male patients with 305 sick eyes and 301 cases of female patients with 407 sick eyes. We divided these cases into the malignant glaucoma group with 11 cases of patients with 17 sick eyes and the nausea glaucoma group with 559 cases of patients with 695 sick eyes according to whether they occur malignant glaucoma after the treatment. The patients in the malignant glaucoma group have a proportion of 2. 38% . General information,an-terior chamber depth,lens thickness,axial length and angle structures,etc. in the two groups were detected and analyzed. Results The average age of the nausea glaucoma group was 64 ± 5. 8,compared to the average age of the malignant glaucoma group's 57 ± 6. 2,which was obviously on the high side. The difference about the age of the two group have statistically significant( P ﹤ 0. 05). The average intraocular pressure of the nau-sea glaucoma group was(22. 6 ± 2. 9)mmHg,compared to the average intraocular pressure of the malignant glaucoma group's(34. 1 ± 4. 9)mm-Hg,which was obviously on the low side. The difference of the intraocular pressure of the two groups have statistically significant( P ﹤ 0. 05). The average ocular axial length of the nausea glaucoma group was(23. 2 ± 1. 1)mm,compared to the average ocular axial length of the malignant glaucoma group's(21. 7 ± 0. 5)mm,which was obviously on the high side. The difference of the average ocular axial length of the two groups have statistically significant( P ﹤ 0. 05). Conclusion Age,preoperative intraocular pressure and ocular axial length should be the important affecting factors of malignant glaucoma occurrence of patients with primary angle closure glaucoma after operation.