原发性闭角型青光眼小梁切除的临床疗效分析

Clinical effect analysis about the primary angle-closure glaucoma with trabeculectomy

目的：探讨小梁切除治疗原发性闭角型青光眼的方法及临床疗效。方法：将本院2008年1月~2010年1月收治的闭角型青光眼患者44例（64眼）,按照眼压的大小分为两组,A组（≤30mmHg）40眼采用小梁切除＋人工晶体植入术,B组（〉30mmHg）24眼采用行小切口白内障摘除术＋人工晶体植入术＋房角分离术。结果：患者术后最佳矫正视力较术前均有显著性的提高,P〈0.05。两组患者的术后眼压、前房深度和矫正视力比较差异也有统计学意义,P〈0.05。结论：小梁切除治疗原发性闭角型青光眼的效果满意。

Objective： To study the method and clinical curative effect about trabecular resection of the primary angle-closure glaucoma used trabeculectomy treatment. Methods： Selected 44 cases primary angle-closure glaucoma in our hospital from January 2008 to January 2010, 44 patients （64 eyes） was divided into two groups, group A by 40 eyes trabecular resection and iol implantation, group B by 24 eyes did the small incision cataract surgery ＋ intraocular lens implantation ＋ anterior corneal dissection. Results： Patients and postoperative best corrected visual acuity were improved significantly sex improvement（P0.05）. Two groups of patients with intraocular endoscope, anterior chamber depth and correctional eyesight also had significant differences （P0.05）. Conclusion： The effects of the primary angle-closure glaucoma used trabeculectomy treatment have satisfactory results.