复合式和传统小梁切除术对青光眼的对照研究

Comparison of the Effect of Two Kinds of Trabeculectomise in the Treatment of Glaucoma

目的评价两种小梁切除术对青光眼的疗效。方法将我116例(128眼)青光眼患者随机分为对照组(64眼)与实验组(64眼),分别行复合式小梁切除术及传统小梁切除术,比较两组手术疗效,并随访1年。结果所有手术均顺利完成。术后一周实验组和对照组浅前房发生率分别为7.81%和21.88%差异有统计学意义(P<0.05)。术后一年实验组手术成功率为87.5%明显高与对照组的43.8%(P<0.05);术后1年,实验组和对照组功能性滤泡形成率分别为90.63%和70.31%,经比较差异有统计意义(P<0.05);实验组术后并发症发生率明显低于对照组(P<0.05)。结论复合式小梁切除术较传统小梁切除术治疗青光眼疗效确切,能有效减少术后浅前房的发生,在能性滤过泡形成和远期手术成功率方面疗效显著,且并发症低,值的临床推广。

Objective To observe the effect of two different trabeculectomy surgeries in the treatment of glaucoma.Methods 116 case（128eyes） with glaucoma were randomLy assigned into control group（64 eyes） and experimental group（64 eyes）;the control group was given traditional trabeculectomy,the experimental group was given complex trabeculectomy.The effect of surgeries were measured and compared between the two groups during 1 year after operation.Results The operation was successful in all the cases.The shallow anterior chamber one week after operation of experimental group（7.81%） were much less than those of control group（21.88%）（P〈0.05）;there were significant differences in long-term postoperative incidence of intraoeular pressure respect to operation success rates between experimental group（87.5%） and control group（43.8%）（P0.05）.One year later,the incidence of functional filter bulbs of conrol group（70.31%） was significantly lower than that of experimental group（90.63%）（P0.05）.The complication of experimental group were significant less than those in the control group（P〈0.05）.Conclusion The compound trabeculectomy is better than traditional trabeculetomy in cure glaucoma.The application of compound trabeculectomy in glaucoma may effectively reduce the occurrence of postoperative shallow anterior chamber,elevate the rates of surgical success and r decreased the complications postoperative.