复合小梁切除术治疗原发性闭角型青光眼的临床观察

A clinical comparative study of the compound trabeculectomy for primary acute angle closure glaucoma

目的评价复合小梁切除术对原发性闭角型青光眼的疗效。方法采用随机对照法将79例(86只眼)原发性闭角型青光眼分为实验组和对照组。实验组采用复合小梁切除术,对照组采用单纯小梁切除术。比较两组术后前房形成、眼压情况及滤过泡情况。结果所有病例平均随访6个月至1年,术后6个月两个组眼压正常及功能性滤过泡形成率分别为92.9%和79.5%,差异有显著性意义;浅前房的发生率实验组(4.8%)明显低于对照组(15.9%)。结论复合式小梁切除术可以调节房水滤过量,减少并发症的发生,提高手术成功率。

Objective To evaluate to the efficacy of compound trabeculectomy in treating primary acute angle closure glaucoma.Methods In a randomized control clinical trial,79(86eyes) with primary acute angle closure glaucoma were divided into study group and control group.The study group were performed compound trabeculetomy and the control group were trabeculectomy.After trabeculectomy,depth of anterior chamber,postoperative IOP,filtration blebs and complications were followed up and compared.Results The follow-up ranged from 6 to 12 months.The success rates of functional filtering blebs and respect to IOP in two groups were 92.9% and 79.5% respectively.The difference being statistically significant.The shallow anterior chamber of study group(4.8%) were much less than those of control group(15.9%).Conclusion The compound trabeculectomy adjusted the amount of aqueous humor out-flowing,decreased complications postoperative and elevated the rates of surgical success.