中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
8期
118-118,119
,共2页
青光眼%小梁切除术%无固定缝线
青光眼%小樑切除術%無固定縫線
청광안%소량절제술%무고정봉선
glaucoma%trabeculectomy%without anchor suture
目的探讨采用无固定缝线进行小梁切除术治疗青光眼的临床效果。方法2010年1～12月在我院确诊并进行手术治疗的闭角性青光眼患者共30例37眼，采用复合式小梁切除术。术后根据眼压及前房情况适时拆除可调缝线。结果30例37眼青光眼患者术后随访结果如下：术后滤泡情况：术后随访1周，I型滤泡共4眼，占10.81%，II型滤泡共31眼，占83.78%，III型滤泡共2眼，占5.41%，未见有IV型滤泡。术后前房情况：术后观察1周以内出现浅前房的眼数为4眼，均为I级，未见II、III级浅前房者，经过加压包扎，阿托品散瞳后，一般2～4天均形成前房。术后眼压情况：术后1周眼压稳定后，眼压7～15mmHg者有33眼，占89.19%，15～21mmHg者有4眼，占10.81%。随访1月，眼压在7～15mmHg者有28眼，占75.68%，15-21mmHg者有9眼，占24.32%，所有患者均根据自身情况按要求进行眼球按摩。结论小梁切除术中无固定缝线应用治疗青光眼，可有效的降低眼压，减少并发症发生，并有效促进功能性滤过泡的形成而提高青光眼的手术成功率。
目的探討採用無固定縫線進行小樑切除術治療青光眼的臨床效果。方法2010年1～12月在我院確診併進行手術治療的閉角性青光眼患者共30例37眼，採用複閤式小樑切除術。術後根據眼壓及前房情況適時拆除可調縫線。結果30例37眼青光眼患者術後隨訪結果如下：術後濾泡情況：術後隨訪1週，I型濾泡共4眼，佔10.81%，II型濾泡共31眼，佔83.78%，III型濾泡共2眼，佔5.41%，未見有IV型濾泡。術後前房情況：術後觀察1週以內齣現淺前房的眼數為4眼，均為I級，未見II、III級淺前房者，經過加壓包扎，阿託品散瞳後，一般2～4天均形成前房。術後眼壓情況：術後1週眼壓穩定後，眼壓7～15mmHg者有33眼，佔89.19%，15～21mmHg者有4眼，佔10.81%。隨訪1月，眼壓在7～15mmHg者有28眼，佔75.68%，15-21mmHg者有9眼，佔24.32%，所有患者均根據自身情況按要求進行眼毬按摩。結論小樑切除術中無固定縫線應用治療青光眼，可有效的降低眼壓，減少併髮癥髮生，併有效促進功能性濾過泡的形成而提高青光眼的手術成功率。
목적탐토채용무고정봉선진행소량절제술치료청광안적림상효과。방법2010년1～12월재아원학진병진행수술치료적폐각성청광안환자공30례37안，채용복합식소량절제술。술후근거안압급전방정황괄시탁제가조봉선。결과30례37안청광안환자술후수방결과여하：술후려포정황：술후수방1주，I형려포공4안，점10.81%，II형려포공31안，점83.78%，III형려포공2안，점5.41%，미견유IV형려포。술후전방정황：술후관찰1주이내출현천전방적안수위4안，균위I급，미견II、III급천전방자，경과가압포찰，아탁품산동후，일반2～4천균형성전방。술후안압정황：술후1주안압은정후，안압7～15mmHg자유33안，점89.19%，15～21mmHg자유4안，점10.81%。수방1월，안압재7～15mmHg자유28안，점75.68%，15-21mmHg자유9안，점24.32%，소유환자균근거자신정황안요구진행안구안마。결론소량절제술중무고정봉선응용치료청광안，가유효적강저안압，감소병발증발생，병유효촉진공능성려과포적형성이제고청광안적수술성공솔。
Objective To investigate the clinical effect of trabeculetomy to treat glaucoma without anchor suture. Methods 30 patients (37 eyes) underwent trabeculectomy from January 2008 to December 2010 in our hospital. The adjustable sutures were taken out based on the depth of anterior chamber and intraocular pressure(IOP).Result Morphologic characteristics of postoperative filtering bleb: the filtering blebs were divided into 4 types based Krofeld’s standards. I type blebs were observed in 4eyes(10.81%), II type blebs in 31 eyes(83.78%),III type blebs in 2 eyes(5.41%), and no IV type blebs after followed for 1 year.Status of postoperative anterior chamber: Shallow anterior chamber were observed in 4 eyes during 7 days after surgery, and are in I grade,The depth of anterior chambers were recovered in 2 to 4 days after pressure dressing and pupil dilation by atropine eye drop.Status of postoperative IOP: After a week of steady intraocular pressure, 7~15mmHg in 33 eyes(89.19%),15~21mmHg in 4 eyes(10.81%). After a month , 7~15mmHg in28 eyes(75.68%), 15-21mmHg in9 eyes(24.32%). All of the patients according to oneself circumstance as required eye massage. Conclusions The trabeculectomy without anchor suture can lower IOP, Reduce the complications,form functional filtering bleb and improve the success rate of glaucoma.
