本文選題：半導(dǎo)體激光 + 睫狀體光凝��； 參考：《吉林大學》2010年碩士論文

【摘要】： 目的:通過回顧性分析半導(dǎo)體二極管激光經(jīng)鞏膜睫狀體光凝術(shù)(TSCPC)和睫狀體冷凝術(shù)治療晚期新生血管性青光眼(NVG)的臨床資料,評價兩種不同術(shù)式的療效。方法:將50例(50眼)新生血管性青光眼隨機分為兩組,TSCPC組26例(26眼),睫狀體冷凝組24例(24眼)為對照組。觀察術(shù)前術(shù)后眼壓、視力、術(shù)后疼痛、術(shù)后反應(yīng)及并發(fā)癥,并進行統(tǒng)計學分析。結(jié)果:除睫狀體冷凝組術(shù)后第1天眼壓與本組術(shù)前眼壓無明顯差異外(p0.05),其余兩組術(shù)后眼壓與本組術(shù)前眼壓相比差異均具有顯著性意義(p0.001);TSCPC組術(shù)后第1d、3d、1w眼壓與睫狀體冷凝組同期相比差異具有顯著性意義(p0.001);TSCPC組術(shù)后1m、3m、6m與冷凝組同期眼壓相比差異無顯著性意義(p0.05)。兩組術(shù)后視力比較其差異無顯著性意義(p0.05)。TSCPC組術(shù)后疼痛時間明顯短于睫狀體冷凝組,差異具有顯著性意義(p 0.001)。TSCPC組術(shù)后角膜水腫及前房纖維素滲出的發(fā)生率低于睫狀體冷凝組,兩組比較差異具有顯著性意義(p 0.05)。兩組術(shù)后均無嚴重并發(fā)癥發(fā)生。術(shù)后6個月,兩組治療有效率相比差異無顯著性意義(p0.05)。結(jié)論:兩種手術(shù)方法對于治療晚期NVG均有顯著療效。與睫狀體冷凝術(shù)相比,TSCPC可使眼壓短期內(nèi)大幅度下降,疼痛迅速緩解,且術(shù)后并發(fā)癥發(fā)生率更低,是治療晚期NVG更安全和有效的方法。
[Abstract]:Objective: to retrospectively analyze the clinical data of TSCPC and NVG in the treatment of advanced neovascular glaucoma by using semiconductor diode laser transscleral ciliary body photocoagulation (TSCPC) and ciliary body condensation (ciliary body condensation). Methods: fifty patients (50 eyes) with neovascular glaucoma were randomly divided into two groups: TSCPC group (n = 26) and ciliary body condensation group (n = 24). Intraocular pressure, visual acuity, postoperative pain, postoperative reaction and complications were observed and analyzed statistically. Results: there was no significant difference in intraocular pressure (IOP) between the first day after operation and that before operation in the ciliary body condensation group (P 0.05). The IOP and the ciliary body pressure in the other two groups were significantly different from the preoperative IOP on the 1st day after operation in the TSCPC group (P 0.001) and the intraocular pressure and the ciliary body in the TSCPC group on the 1st day after operation. There was no significant difference in intraocular pressure (IOP) between the condensing group (p 0.001) and the condensing group (P 0.05). There was no significant difference in postoperative visual acuity between the two groups. The time of postoperative pain in the TSCPC group was significantly shorter than that in the ciliary body condensation group, and the incidence of corneal edema and fiber exudation in the 0.001).TSCPC group was lower than that in the ciliary body condensation group. There was significant difference between the two groups (P 0.05). There were no serious complications in both groups. 6 months after operation, there was no significant difference in the effective rate between the two groups (P 0.05). Conclusion: the two surgical methods are effective in the treatment of advanced NVG. Compared with ciliary body condensation, TSCPC can significantly decrease IOP in a short period of time, relieve pain rapidly, and reduce the incidence of postoperative complications. TSCPC is a more safe and effective method for the treatment of advanced NVG.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2010
【分類號】：R779.6

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