复合式与常规小梁切除术后浅前房的对比分析

Comparison of postoperative shallow anterior chamber between compound and traditional trabeculectomy

目的:对比分析复合式与常规小梁切除术后浅前房的发生情况。方法:青光眼56例(71眼)分为2组。复合式手术组(A组)29例(36眼)行复合式小梁切除术;对照组(B组)27例(35眼)行常规小梁切除术。观察两组术后浅前房的发生情况,并作统计学分析。结果:A组术后浅前房发生率为14%(5眼),B组为37%(13眼),两者差异有统计学意义(χ2=5.07,P<0.05)。结论:复合式小梁切除术较传统的小梁切除术能较迅速恢复和维持术后前房深度,有效减少术后浅前房发生,提高手术成功率。

AIM： To compare the incidence of shallow anterior chamber after the compound trabeculectomy and traditional trabeculectomy.METHODS： The 56 cases （71 eyes） with glaucoma were divided into tow groups in random, 29cases （36 eyes） in study group （group A） underwent the compound trabe-culectomy while 27cases （35 eyes） in control group （group B） underwent traditional trabeculectomy, the incidence of postoperative shallow anterior chamber between two groups were observed and analyzed.RESULTS： Postoperative shallow anterior chamber： there were 5 eyes in group A （14%） while 13 eyes in group B （37%）, the statistic difference was significant （X^2 = 5.07, P〈0.05）.CONCLUSION：The compound trabeculectomy is better than traditional trabeculectomy in keeping the depth of postoperative anterior chamber, which could effectively decrease the postoperative shallow anterior chamber and elevate the rates of surgical success.