复合式小梁切除术治疗青光眼的临床疗效

目的探讨复合式小梁切除术治疗青光眼的临床疗效。方法选取2009年9月-2011年9月江门市中心医院收治的青光眼患者46例(46眼),随机分为两组,各23例(23眼)。对照组给予传统小梁切除术治疗,观察组给予复合式小梁切除术治疗,比较两组患者的临床疗效。结果观察组患者术后视力不变5例,视力提高17例,视力下降1例,视力提高率73.91%;对照组患者术后视力不变7例,视力提高12例,视力下降4例,视力提高率52.17%。观察组手术前眼压为(28.12±3.12)mmHg,手术后眼压为(15.32±2.12)mmHg;对照组手术前眼压为(27.98±3.87)mmHg,手术后眼压为(18.31±2.46)mmHg。手术后观察组出现浅前房1例,术后并发症发生率4.35%;对照组出现浅前房2例,脉络膜脱离1例,术后并发症发生率13.04%。观察组视野改善21例,视野改善率为91.30%;对照组视野改善18例,视野改善率为78.26%。结论复合式小梁切除术在治疗青光眼上具有显著的临床疗效,患者的视力、眼压恢复、视野改善情况明显优于对照组,值得临床推广使用。

Objective To investigate the clinical effect of compound trabeculectomy for treatment of glaucoma. Methods From Sep. 2009 to Sep. 2011 in patients with glaucoma 46 cases （46 eyes）, were randomly divided into two groups,the observation group of 23 cases （23 eyes）,23 eases in the control group （23 cases）,control group was given traditional trabeculectomy for treatment, observation group was given compound small Liang Qie in addition to treatment, compared two groups of patients with clinical curative effect.Results The observation group patients remained unchanged in 5 cases, the visual acuity improved in 17 cases, decreased visual acuity in 1 cases, the visual acuity increased rate of 73.91%;7 cases of unchanged visual acuity in the patients, the visual acuity improved in 12 cases,4 cases of decreased visual acuity, visual acuity improved rate of 52.17%.The observation group before operation, IOP was （28.12±3.12）mmHg,as the intraocular pressure after operation （15.32±2.12）mmHg;the control group before operation, lOP was （27.98±3.87）mmHg, as the intraocular pressure after operation （18.31±2.46） mmHg. The observation group of shallow anterior chamber after operation in 1 cases,the rate of postoperative complications was 4.35%,the control group of 2 cases of shallow anterior chamber, choroidal detachment in 1 cases,postoperative complication rate was 13.04%.The observation group vision improved in 21 eases,visual improvement rate was 91.30%;the control group vision improved in 18 cases, improve the rate of vision 78.26%.Conclusion Compound trabeculectomy has significant clinical efficacy in the treatment of glaucoma, visual acuity, intraocular pressure,vision recovered significantly better than the control group, worthy of clinical use.