复合式小梁切除术治疗原发性闭角型青光眼的临床观察

Clinical observation of compound trabeculectomy for primary angle-closure glaucoma

目的探讨复合式小梁切除术治疗原发性闭角型青光眼(PACG)的临床疗效及安全性。方法回顾性分析淮北市人民医院眼科2009年4月至2013年4月收治的22例复合式小梁切除术治疗的原发性急性闭角型青光眼(APACG)以及应用常规小梁切除术24例(对照组)患者的临床资料,分析比较两组患者术后浅前房、前房出血、眼压、切口渗漏、滤过泡等情况。结果两组患者术前临床资料比较差异无统计学意义,术后浅前房、前房出血、眼压、切口渗漏、滤过泡等比较,复合式小梁切除术治疗组明显优于对照组。结论复合式小梁切除是治疗PACG的有效方式之一。

Objective To investigate the clinical effect and safety of compound trabeculectomy in treatment of primary angleclosure glaucoma （PACG）. Methods The clinical data of 22 patients with acute primary angle-closure glaucoma （APACG）, treated by compound trabeculectomy, and 24 patients treated by coventional trabeculectomy, who admitted in our department from April 2009 to April 2013 were retrospectively analyzed. Postoperative shallow anterior chamber, hyphema, intraocular pressure, wound leakage, bleb and so on were analyzed and compared. Results There was no significant difference in preoperative clinical datas between the two groups. In terms of shallow anterior chamber, hyphema, intraocular pressure, wound leakage, bleb compound trabeculectomy group was superior to the coventional trabeculectomy group. Conclusion Compound trabeculectomy is one of the effective ways for treatment of PACG,