發(fā)布時(shí)間：2018-06-18 15:03

  本文選題：內(nèi)窺鏡睫狀體光凝術(shù) + 青光眼閥植入術(shù)　； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年06期

【摘要】：目的:對(duì)比內(nèi)窺鏡睫狀體光凝術(shù)(endoscopic cyclophotocoagulation,ECP)和青光眼閥植入術(shù)治療難治性青光眼療效。方法:回顧性分析難治性青光眼99眼,分為ECP組50眼(A組)和青光眼閥植入組49眼(B組)。觀察兩組術(shù)后眼壓、視力、術(shù)中、術(shù)后并發(fā)癥。結(jié)果:(1)眼壓:兩組最后復(fù)診眼壓下降較術(shù)前差異均有統(tǒng)計(jì)學(xué)意義(t=2.47、t=2.51,P0.05)。除術(shù)后2 d及7 d外,余時(shí)間點(diǎn)兩組眼壓差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.92、t=0.89、t=0.95,P0.05)。(2)視力:末次隨訪兩組視力差異無(wú)統(tǒng)計(jì)學(xué)意義(x~2=37.85,P0.05)。(3)并發(fā)癥:A組早期并發(fā)癥:前房反應(yīng)性滲出、短期高眼壓、前房積血。B組早期并發(fā)癥:淺前房、前房積血、閥口阻塞性高眼壓、遲發(fā)型爆發(fā)性脈絡(luò)膜上腔出血、脈絡(luò)膜脫離。中期并發(fā)癥:引流盤(pán)纖維包裹性高眼壓;遠(yuǎn)期并發(fā)癥:引流管排斥、暴露和移位、感染性眼內(nèi)炎、結(jié)膜增殖性病變。結(jié)論:內(nèi)窺鏡睫狀體光凝術(shù)與青光眼閥植入術(shù)均能降低難治性青光眼眼壓。內(nèi)窺鏡睫狀體光凝術(shù)術(shù)后并發(fā)癥少。
[Abstract]:Objective: to compare the efficacy of endoscopic cyclophotography (ECPP) and glaucoma valve implantation in the treatment of refractory glaucoma. Methods: 99 eyes of refractory glaucoma were analyzed retrospectively and divided into ECP group (50 eyes) and glaucoma valve implantation group (49 eyes). Intraocular pressure, visual acuity, intraoperative and postoperative complications were observed in both groups. Results IOP: the decrease of IOP in the two groups was significantly higher than that before operation. Except 2 and 7 days after operation, there was no significant difference in IOP between the two groups at the remaining time point. There was no significant difference in IOP between the two groups (P < 0. 05, P 0. 05, P 0. 05). Visual acuity was not significantly different between the two groups at the last follow-up. There was no significant difference in visual acuity between the two groups (P 0. 05). 3) early complications in group A: anterior chamber reactive exudation, short term high intraocular pressure (IOP). The early complications in group B: superficial anterior chamber, hyphema, obstructive intraocular pressure, delayed burst suprachoroidal hemorrhage and choroidal detachment. Intermediate complications: high intraocular pressure with filamentous drainage disc, long term complications: drainage tube rejection, exposure and displacement, infectious endophthalmitis, conjunctival proliferative lesions. Conclusion: endoscopic ciliary photocoagulation and glaucoma valve implantation can reduce IOP in refractory glaucoma. There are few complications after endoscopic ciliary body photocoagulation.
【作者單位】： 南昌大學(xué)第二附屬醫(yī)院眼科;
【分類(lèi)號(hào)】：R779.6

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本文編號(hào)：2035898