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复合式小梁切除术两种不同结膜切口的比较 被引量:4

Comparison of two different conjunctival incisions of combined trabeculectomy
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摘要 目的:探讨角巩缘结膜切口和角巩缘后界1mm结膜切口施行复合式小梁切除术的临床疗效。方法:原发性青光眼43例(51眼),随机分为2组,分别采用角巩缘切口和角巩缘后界1mm切口做结膜瓣,观察术后眼压、滤过泡、前房深度,结膜切口有无渗漏,并进行统计学比较。结果:角巩缘后界1mm结膜切口术后切口漏水、浅前房明显少于角巩缘切口,术后眼压控制和滤过泡形态无明显区别。结论:角巩缘后界1mm结膜切口术后结膜漏水发生少,切口愈合快。 AIM: To evaluate the therapeutic effect of combined trabeculectomy with limbal conjunctival incision and conjunctival incision posterior limbal 1 millimeter. METHODS: Fifty-one eyes were randomly divided into two groups. The conjunctival flaps were performed with different incisions separately: limbal conjunctival incision (group 1 ) and conjunctival incision posterior limbal 1 millimeter (group 2). Intraocular pressure, filtering bleb, depth of anterior chamber and water leakage in conjunctival incision after operation were observed and compared. RESULTS: The incidence of complications like water leakage, shallow anterior chamber in group 2 were obviously less than that in group 1. But the intraocular pressure and the form of filtering bleb had no differences. CONCLUSION: Conjunctival incision posterior limbal 1 millimeter can not only reduce the water leakage in conjunctival incision, but also accelerate incision adhesion after operation.
出处 《国际眼科杂志》 CAS 2008年第8期1715-1716,共2页 International Eye Science
关键词 青光眼 小梁切除术 并发症 glaucoma trabeculectomy complication
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