本文選題：急性閉角型青光眼 + 小梁切除術　； 參考：《眼科新進展》2014年04期

【摘要】：目的探討不同前房深度急性閉角型青光眼持續(xù)高眼壓患者的手術療效。方法選取2008年1月至2012年12月我院急性閉角型青光眼持續(xù)高眼壓患者142例(142眼),根據術前前房深度將患者分為3組,A組45例行小梁切除術聯(lián)合玻璃體抽吸;B組42例先行前房穿刺降眼壓,再行小梁切除術;C組55例先給予藥物等非手術治療降眼壓至低于30 mmHg(1 kPa=7.5 mmHg),再行小梁切除術。記錄3組患者入院時、術后1周的眼壓,同時觀察術前及術后1個月視力,并觀察3組患者相關并發(fā)癥的發(fā)生情況。結果 A組、B組和C組患者入院眼壓分別為(49.02±2.97)mmHg、(49.53±3.87)mmHg、(48.76±4.65)mmHg,組間差異均無統(tǒng)計學意義(均為P0.05);術后1周眼壓均較術前顯著降低,差異均有統(tǒng)計學意義(均為P0.05),其中A組低于B組和C組,差異均有統(tǒng)計學意義(均為P0.05)。A組、B組和C組術前視力組間比較,差異均無統(tǒng)計學意義(均為P0.05);3組患者術后1個月視力均顯著增加(均為P0.05);B組高于A組和C組(均為P0.05),A組和C組相比,差異無統(tǒng)計學意義(P0.05)。3組并發(fā)癥發(fā)生率分別為13.3%、50.0%和11.4%,3組之間相比差異有統(tǒng)計學意義(χ2=18.87,P0.01)。結論急性閉角型青光眼持續(xù)高眼壓行小梁切除術時應同時抽吸玻璃體,提高患者預后。
[Abstract]:Objective to investigate the operative effect of acute angle closure glaucoma (ACG) with different anterior chamber depth in patients with persistent high intraocular pressure (IOP). Methods from January 2008 to December 2012, 142 patients with persistent high intraocular pressure (IOP) of acute angle closure glaucoma in our hospital were divided into 3 groups according to the depth of anterior chamber. Group A, 45 cases underwent trabeculectomy combined with vitreous aspiration, group B 42. First, anterior chamber puncture was performed to reduce intraocular pressure (IOP). In group C, 55 cases were treated with non-surgical treatment, such as medicine, to reduce IOP to less than 30 mmHg(1 kPa=7.5, and then trabeculectomy. Intraocular pressure (IOP) was recorded at admission and 1 week after operation, visual acuity was observed before and 1 month after operation, and complications were observed. Results the IOP of group A and group C were 49.02 鹵2.97mm Hgmg and 49.53 鹵3.87mm Hgmg, respectively. There was no significant difference between group A and group C (P 0.05), the IOP of group A was significantly lower than that of preoperation at 1 week (P 0.05), and the difference between group A and group C was lower than that of group B and C (P 0.05), and the intraocular pressure (IOP) in group A was significantly lower than that in group B (P 0.05) and group C (P 0.05), and the intraocular pressure (IOP) in group C was significantly lower than that in group C (P 0.05). The difference was statistically significant (P 0.05). The visual acuity of group B and group C were significantly different before operation. The visual acuity of group B was significantly higher than that of group A and group C (all P0.05A and C), and the visual acuity of group B was significantly higher than that of group A and C (P 0.05). There was no significant difference in the incidence of complications between the three groups (蠂 ~ 2 / 18.87 / P ~ (0.01). The incidence of complications was 13.30.0% and 11.4% respectively (蠂 ~ 2 / 18.87 / P ~ (0.01). Conclusion in order to improve the prognosis of patients with acute angle-closure glaucoma, simultaneous aspiration of vitreous should be performed during trabeculectomy with sustained high intraocular pressure.
【作者單位】： 吉安市中心人民醫(yī)院眼科;
【分類號】：R779.6

【參考文獻】

相關期刊論文 前1條

1 王華;梁遠波;范肅潔;唐p，

本文編號：1950588