基层眼科小梁切除术405例并发症分析

Analysis the complications after trabeculectomy in 405 cases in department of ophthalmology

目的:分析并总结青光眼行小梁切除术在基层医院眼科开展的效果。方法:对青光眼患者316例405眼行小梁切除术,对术后的眼压、滤过泡及并发症进行回顾性分析。结果:术后随访12mo,其中76.5%眼压控制正常;滤过泡Ⅰ型42.5%,Ⅱ型33.1%,Ⅲ型14.6%,Ⅳ型9.9%;术中并发症发生率2.5%,术后早期(出院前)并发症发生率31.4%,术后远期(出院6mo后)并发症发生率6.7%。结论:小梁切除术能较好解决青光眼高眼压问题,在基层医院开展较成熟,但术中术后仍有多种并发症发生。

AIM： To analyze and summarize the effect of glaucoma trabeculectomy in the department of ophthalmology in basic hospital.METHODS： Postoperative intraocular pressure（ IOP）,filtering bleb and complications of 316 cases（ 405 eyes） of patients with glaucoma after trabeculectomy were analyzed.RESULTS： After follow- up 12 mo,76. 5% IOP was controlled in normal level. 42. 5% was filtration bleb typeⅠ,33. 1% type Ⅱ,14. 6% in type Ⅲ and 9. 9% in type Ⅳ.Intraoperative complication rate was 2. 5%, that was31. 4% at postoperative early stage（ before discharge）,and 6. 7% at postoperative long- term（ 6mo after discharge）.CONCLUSION： Trabeculectomy for glaucoma can better solve the problem of high IOP. It is more mature in primary hospitals, but there are still a variety of intraoperative and postoperative complications.