青光眼小梁切除术后早期并发症的临床分析

Clinical analysis of early complications after trabeculectomy

目的探讨青光眼小梁切除术后早期并发症,为术式选择和并发症的处理提供依据。方法2003年1月至2006年12月在我院行青光眼小梁切除术的住院患者共197人(211眼)。术式包括单纯小梁切除术(103眼),小梁切除联合丝裂霉素C(MMC)术(108眼)。记录术后早期并发症及处理情况。结果对小梁切除术后早期并发症58眼采用保守治疗,治愈50眼(占92.59%)。MMC组浅前房的发生率与单纯组无明显差异。脉络膜脱离的发生率MMC组与单纯组无明显差异。前房积血的发生率与单纯组均无明显差异。结论小梁切除术后早期并发症的保守治疗效果显著。根据患者的具体情况和术者的技术水平选择手术方法,可降低手术风险,减少并发症,取得较好效果。

Objective To review the early complications of trabeculectomy and the efficiency of the treatment in glaucoma patients undergoing trabeculectomy. Methods One hundred and ninety seven patients （211 eyes）who performed trabeculectomy surgery in our hospital from Jan. 2003 to Dec. 2006 were reviewed. The procedures include trabeculectomy only（103eyes） and trabeculectomy with mitomycin C （MMC）application （108eyes）. The early complications were described and the mechanisms were analyzed. The treatments were also discussed. Results Most of the early complications were treated by medicines（50 eyes 92.59% ）. There was no significant difference between trabeculectomy group and trabeculectomy with MMC application group in the incidence of some early complications. Conclusion Most of the early complications may be effectively treated by medicine. Choose surgical procedures individually may reduce complications of trabeculectomy surgery.