摘要
目的比较分析单切口和双切口不同术式青光眼小梁切除联合白内障超声乳化摘除人工晶体植入术的临床疗效。方法收集72例（105只眼）青光眼小梁切除联合白内障超声乳化摘除人工晶体植入术病例。其中单切口术式的病例有37例55只眼，双切口的有有35例50只眼。分析比较两组患者的术后眼压控制、UBM下滤过泡情况及并发症情况。随访12．30个月，平均18．6个月。结果术后平均眼压单切口组（17．23±4．25）mmHg、双切口组（16．89±4．56）mmHg，两组术后平均眼压下降差异无统计学意义（t=1．69，P〉0．05）。术后滤过泡内部巩膜瓣下滤过通道的可见性及滤过泡内的反射强度两组比较差异无统计学意义（P〉0．05）。结论单切口和双切口不同术式的联合手术均具有较好的降眼压的作用，同时能维持良好的滤过泡功能。两组术式的降低眼压功能基本相同。
Objective To compare the effect of one-site and two-site incision in phacotrabeculectomy in terms of intraocular pressure control. Methods Seventy-five cases （105 eyes） of phacotrabeculectomy were retrospectively reviewed. One-site approach was performed on 55 eyes, and two-site approach on 50 eyes. The effects of intraocular pressure control were compared between the two groups. Follow-up was 12-30 months （mean 18.9 months）. Results The postoperative intraocular pressure in one-site groups was （17.23±4.25）mmHg （lmmHg=0.133kPa）. The postoperative intraocular pressure in two-site groups was （16.89±4.56）mmHg. There was no significant difference between the two groups relative to the effect of intraocular pressure control （t =1.69, P 〉0.05）. There was no statistically significant difference in visibility of filtering routes under the scleral flap and reflectivity inside the blebs between the two groups. Conclusions Phacotrabeculectomy, either with one-site approach or with two-site approach, can provide good intraocular pressure control. The effects are similar between the two approaches.
出处
《中国实用眼科杂志》
CSCD
北大核心
2012年第11期1353-1356,共4页
Chinese Journal of Practical Ophthalmology
