本文選題：鞏膜長隧道途徑　切入點：鞏膜瓣途徑　出處：《福建醫(yī)科大學(xué)》2012年碩士論文

【摘要】：【目的】觀察比較經(jīng)鞏膜瓣下穿刺口置入Ahmed青光眼閥(AGV)與經(jīng)鞏膜長隧道置入AGV治療新生血管性青光眼(NVG)的療效及并發(fā)癥等。 【方法】將20例(20只眼)NVG患者隨機均分為二組，分別經(jīng)鞏膜瓣下穿刺口及經(jīng)鞏膜長隧道置入AGV，術(shù)后3d，7d，1m，3m，6m，12m檢查視力、眼壓及裂隙燈檢查等。 【結(jié)果】隨防1～29個月，平均11.6個月。鞏膜瓣組患者末次隨訪眼壓由術(shù)前(49.7±8.33)mmHg降至(17.0±8.97)mmHg，手術(shù)前后眼壓差異有統(tǒng)計學(xué)意義(P0.05)；鞏膜長隧道組患者末次隨訪眼壓由術(shù)前(46.2±7.04)mmHg降至(18.5±7.78)mmHg，，手術(shù)前后眼壓差異有統(tǒng)計學(xué)意義(P0.05)；二組患者術(shù)后眼壓相較差異無統(tǒng)計學(xué)意義(P0.05)。鞏膜長隧道組患者低眼壓性淺前房的發(fā)生率較鞏膜瓣組低，其差異具統(tǒng)計學(xué)意義(P0.05)，其余并發(fā)癥的發(fā)生率，如前房積血，高眼壓等，二組相較無統(tǒng)計學(xué)意義(P0.05)。 【結(jié)論】通過二種途徑置入AGV治療NVG降低眼壓效果相當，但經(jīng)鞏膜長隧道置入其操作更簡便、局部組織損傷更輕、材料成本更低、術(shù)后早期低眼壓性淺前房的發(fā)生率更少，或可成為房水引流物置入的新方法。
[Abstract]:[objective] to compare the curative effect and complications of Ahmed glaucoma valve implantation via subscleral valve and AGV implantation through long scleral tunnel in the treatment of neovascular glaucoma. [methods] Twenty patients with NVG were randomly divided into two groups: subscleral puncture orifice and transscleral long tunnel were implanted into AGV.The visual acuity, intraocular pressure and slit lamp were examined 3 days after operation. [results] after 1 ~ 29 months of prevention, The IOP of scleral flap group decreased from 49.7 鹵8.33)mmHg to 17.0 鹵8.97mm Hg, and the IOP of scleral tunnel group decreased from 46.2 鹵7.04)mmHg to 18.5 鹵7.78mmHg.The IOP of scleral long tunnel group decreased from 46.2 鹵7.04)mmHg to 18.5 鹵7.78mmHg before and after operation. There was no significant difference in IOP between the two groups. The incidence of hypotony shallow anterior chamber in scleral long tunnel group was lower than that in scleral flap group. The difference was statistically significant (P 0.05). The incidence of other complications, such as hyphema and high intraocular pressure, was not statistically significant in the two groups. [conclusion] the effect of AGV implantation in the treatment of NVG is comparable, but the operation of long tunnel through sclera is easier, the local tissue injury is lighter, the cost of materials is lower, and the incidence of early low IOP shallow anterior chamber is less. It may be a new method for drainage of aqueous humor.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R779.6

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