青光眼小梁切除术后浅前房并发症临床分析

Clinical Analysis on Complications of Shallow Anterior Chamber after Trabeculectomy

目的探讨两种术式对青光眼浅前房并发症的临床价值。方法随机选择100例(140眼)青光眼患者,随机分为复合式小梁切除术组(观察组)50例(75眼);传统小梁切除术组(对照组)50例(65眼),比较两组术后浅前房并发症发生情况。结果观察组术后第1天正常前房形成71眼(94.7%),4眼Ⅰ度浅前房(5.3%)。对照组术后第1天正常前房形成50眼(76.9%),10眼Ⅰ度浅前房(13.3%),5眼Ⅱ度浅前房(7.7%)。观察组术后浅前房发生率明显低于对照组(χ2=5.58,P<0.05)。结论改良复合式小梁切除术提高了手术成功率,能减少术后浅前房并发症的发生。

Objective To investigate of glaucoma shallow anterior chamber complications by two surgical treatment. Methods 100 cases（140 eyes） with glaucoma were randomly divided into compound trabeculectomy（observation group） 50 cases（75 eyes）; traditional trabeculectomy group （the control group） 50 cases （65 eyes）, the compared two groups complications occurred. Results The normal form anterior chamber was 71 eyes（94.7%）, Ⅰ degree of 4 eyes shallow anterior chamber were 5.3% in observation group. The control group of normal anterior chamber formed were 50 eyes （76.9%）,10 degrees Ⅰ of 10 eyes （1.3% ）,degrees Ⅱ of 5 eyes （7.7%）, Observer Group of shallow anterior chamber was significantly lower than the control group （x^2 =5.58,P〈0.05）. Conclusion The compound trabeculectomy improve the success rate of surgery,can reduce the shallow anterior chamber after the occurrence of complications.