摘要
了解青光眼小梁切除术中,对以穹窿部为基底的结膜瓣采用两种不同缝合方法的手术效果,观察滤泡形态、治疗效果及并发症。方法:两组维吾尔族闭角型青光眼病人每组25只眼,共50只眼。均施行小梁切除术,采用以窟窿部为基底的结膜瓣。其中一组仅将结膜瓣对位间断2~3针缝合在角膜缘处。另一组将结膜瓣行连续锁边缝合,成为一密不漏水的结膜瓣。结果:结膜瓣连续锁边缝合组形成功能性滤过泡的比率明显大于未对结膜瓣做特殊处理组。结论:小梁切除术中,结膜瓣关闭时达到绝对不漏水是手术成功的关键,特别是当前广泛使用抗代谢药物的情况下更是如此。
Objective: To observe the clinical effects and complications and the filtering bleb during the trabeculectomy surgery by means of sewing conjunctiva with different ways in the superior fornix-based peritomy. Methods: The study was randomized and double-masked. 50 Uighur persons with closed-angle glaucoma were placed into two groups. Each group contains 25 cases. Trabeculectomy were performed in both groups .Among them, one group sewed conjunctiva with successive chain shaped sutures, and another used common suture technics. Results: The rate of successful filtering bleb in special suture groups was higher than the group using common technics. conclusion: It is suggested that the spescific conjunctival suture was more effective than the nonspecific conjunctival suture in the glaucomatous filtering surgery.
出处
《新疆医科大学学报》
CAS
2000年第1期58-59,共2页
Journal of Xinjiang Medical University
关键词
小梁切除术
青光眼
结膜瓣
缝合术
trabeculectomy
conjunctival peritomy
filtering conjunctival bleb
successive chain shaped sutures