脉络膜上腔引流术在难治性青光眼的治疗效果分析

Analysis of Therapeutic Effect of Choroidal Upper Drainage in Refractory Glaucoma

目的研究脉络膜上腔引流术在难治性青光眼的治疗效果。方法选取2014年1月1日—2016年12月31日收治的难治性青光眼患者150例作为研究对象。采用计算机随机将其分为对照组(小梁切除联合虹膜根切术)和观察组(脉络膜上腔引流术),每组各75例。对比两组患者的各项指标。结果观察组难治性青光眼患者的手术成功率、角膜上皮损害及浅前房发生情况、术后眼压均优于对照组患者(P<0.05);两组患者术后末次随访视力水平对比,差异无统计学意义(P>0.05)。结论难治性青光眼患者采用脉络膜上腔引流术治疗的效果优越,有利于视力恢复和降低眼压。

Objective To study the therapeutic effect of choroidal upper drainage in refractory glaucoma. Methods 150 patients with refractory glaucoma were enrolled in this study. The patients were randomly divided into control group （trabeculectomy combined with iridotomy） and observation group （choroidal upper drainage surgery）, 75 cases in each group. Compare the two sets of indicators. Results The operative success rate, corneal epithelial damage and shallow anterior chamber in the observation group were better than those in the control group （P 〈 0.05）. There was no significant difference in the visual acuity between the two groups （P 〉 0.05）. Conclusion The treatment of refractory glaucoma patients with superior choroidal drainage is superior.