复合式小梁切除术治疗闭角型青光眼的临床观察

Compound Trabeculectomy for Angle-closure Glaucoma

目的 :观察复合式小梁切除术治疗闭角型青光眼的临床效果。方法 :对 6 4例 70眼闭角型青光眼分成两组 ,按时间顺序先行的 34眼术中用MMC的小梁切除术和后行的复合式小梁切除术 36眼为两组。分析两组间术后眼压、滤过泡及前房成形情况。结果 :本组病例 ,术后第 1d的浅前房发生率观察组为5 5 6 % ,明显低于对照组的 2 0 5 9% (P <0 0 5 ) ;观察组术后第 5d浅前房发生率 2 78% ,明显低于对照组 17 6 4% (P <0 0 5 ) ;平均随访 8个月 ,观察组功能性滤过泡 88 89% ,对照组 85 2 9% ,两者之间无显著性差异 (P >0 0 5 ) ;眼压观察组 2 1mmHg以下者 32眼 ,控制率 88 89% ,对照组 2 9眼 ,控制率为85 2 9% ,两组间无显著差异 (P >0 0 5 )。结论 :复合式小梁切除术明显减少术后浅前房与并发症 。

Objective:To investigate the clinical effect of compound trabeculectomy for angle-closure glaucoma.Methods:70 eyes of 64 patients with angle-closure glaucoma were divided into two groups.In observed group,36 eyes of 32 cases underwent compound trabeculectomy.In control group,34 eyes of 32 cases underwent trabeculectomy with MMC.The postoperative intraocular pressure (IOP),filtration and the depth of anterior chamber were compared between two groups.Pesults:The incidence rate of shallow anterior chamber on the first and fifth day after operation were much lower in observed group (5.56% and 2.78%,respectively)than that in control group (20.59% and 17.64%,respectively)(P<0.05).During followed-up 8 months,the rate of functional bubles was respectively 88.89% and 85.29% in observed and control group (P>0.05),the success rate of controlling IOP was respectively 88.89% and 85.29% (P>0.05).Conclusion:The application of compound trabeculectomy in angle-closure glaucoma may reduce the complications and improve the surgical safe.