可调式缝线法预防青光眼滤过术后早期浅前房的临床研究

Adjustable suture method to prevent glaucoma filtration early postoperative shallow anterior chamber in clinical research

目的观察可调式缝线法对预防青光眼滤过术后早期浅前房的效果。方法将68例(68只眼)原发性青光眼患者随机分为2组。实验组34例,术中采用可调式缝线法加缝合巩膜瓣两侧切口,术后根据前房深浅调整缝线松紧有效预防浅前房的发生。对照组34例,采用常规滤过术式。观察比较2组术后早期前房深浅情况。结果实验组术后早期浅前房发生率低于对照组,且通过调紧缝线处理浅前房的方法方便、有效。结论可调式缝线法行青光眼滤过术可明显降低术后早期浅前房的发生,降低了传统术式并发症的发生率,是一种安全、有效且易掌握的手术方法。

Objective Adjustable suture method to prevent glaucoma filtration method and effect of early postoperative shallow anterior chamber. Methods 68 cases （68 eyes） of primary glaucoma pa- tients were randomly divided into two groups. Experimental group 34 cases, intraoperative adjustable su- ture method is used to add stitching on both sides of the sclera flap incision, postoperative adjust stitches according to anterior chamber depth elastic effectively prevent the occurrence of shallow anterior cham- ber. The control group of 34 cases, the conventional filtration surgery. Compare two groups of early post- operative anterior chamber depth. Results The incidence of early postoperative shallow anterior chamber is lower than controls, and tight suture treatment through the shallow anterior chamber method is conven- ient and effective. Conclusion Using the method of adjustable suture line glaucoma filtration surgery can obviously reduce the incidence of early postoperative shallow anterior chamber, reduces the incidence of conventional surgery complications, is a safe and effective surgical method and easy to master.