摘要
目的:对比观察复合式与单纯小梁切除术治疗青光眼的临床疗效。方法:青光眼患者73例82眼随机分为A组(37例42眼)和B组(36例40眼),分别采用复合式小梁切除术和单纯小梁切除术治疗,术后随访3mo,观察并比较两组的浅前房发生率、滤过泡形成情况以及眼压控制情况。结果:A组浅前房发生率为4.8%(Ⅰ度),B组浅前房发生率为35.0%(Ⅰ度+Ⅱ度),两组浅前房发生率比较,差异有统计学意义(P<0.05);A组随访结束时共38眼(90.5%)为功能性滤过泡,B组共28眼(70.0%)为功能性滤过泡,两组功能性滤过泡形成率比较,差异有统计学意义(P<0.05);术后3mo时,A组眼压获完全控制者共37眼(88.1%),显著高于B组(52.5%),组间比较差异有统计学意义(P<0.05);术后3mo时,A组平均眼压为15.2±2.3mmHg,显著低于B组(18.5±2.5mmHg),组间比较差异有统计学意义(P<0.05)。结论:复合式小梁切除术可有效减少术后浅前房的发生,在功能性滤过泡形成和眼压控制方面疗效显著,明显优于单纯小梁切除术。
AIM：To compare the clinical efficacy of compound and simple trabeculectomy for glaucoma.METHODS：Totally 73 cases（82 eyes） glaucoma patients were randomly divided into group A 37 cases（42 eyes） and group B 36 cases（40 eyes） which received compound and simple trabeculectomy respectively,all patients were followed up for 3 months and the incidence of shallow anterior chamber,bleb formation and control of intraocular pressure of both groups were observed and compared.RESULTS：：The incidence of shallow anterior chamber of group A and group B were 4.8%（Ⅰ degree） and 35.0%（Ⅰdegree＋Ⅱdegree） respectively,the difference between groups was statistically significant（P0.05）;to the end of follow-up,38 eyes（90.5%） got functional bleb in group A and 28 eyes（70.0%） got functional bleb in group B,the functional bleb formation rate had statistical difference between groups（P0.05）;in 3 months post-operation,a total of 37 eyes（88.1%） got complete control of intraocular pressure in group A which was significantly higher than group B（52.5%）,the difference between groups was statistically significant（P0.05）;the mean intraocular pressure of group A in 3 months post-operation was 15.2±2.3mmHg which was significantly lower than group B（18.5±2.5mmHg）,the difference between groups was statistically significant（P0.05）.CONCLUSION：Compound trabeculectomy can effectively reduce the incidence of postoperative shallow anterior chamber;its efficacy is also obvious in functional filtering bleb formation and intraocular pressure control which is significantly better than that of simple trabeculectomy.
出处
《国际眼科杂志》
CAS
2012年第11期2084-2086,共3页
International Eye Science
