分析不同术式治疗滤过性手术滤过泡纤维化的青光眼患者的临床疗效

Analysis on the Clinical Efficacy of Different Surgical Methods in the Treatment of Glaucoma Patients with Fibrosis of Filtering Surgical Filtering Bubbles

目的分析滤过性手术滤过泡纤维化的青光眼患者行不同手术治疗的效果。方法选取2020年10月-2021年10月沂水县人民医院收治的82例青光眼患者为研究对象,各研究对象均存在滤过性手术滤过泡纤维化的情况。入院后以掷骰子结果分为开放组和微创组,每组41例,前者行开放复通术治疗,后者行微创复通术治疗。观察对比两组视力、眼压,统计患者眼部并发症,并调查两组的满意度。结果术前,两组视力、眼压对比,差异无统计学意义(P>0.05)。术后,两组视力、眼压优于术前,且微创组视力比开放组高,微创组眼压比开放组低,差异有统计学意义(P<0.05)。微创组眼部并发症发生率(4.88%)比开放组(19.51%)低,差异有统计学意义(χ^(2)=4.100,P=0.043)。微创组对眼压维持效果的满意度为97.56%,对视力改善效果的满意度为95.12%,对治疗安全性的满意度为92.68%,对眼部不适感的满意度为97.56%,均比开放组(78.05%、75.61%、73.17%、80.49%)高,差异有统计学意义(χ^(2)=7.289、6.248、5.513、4.493,P=0.007、0.012、0.019、0.034)。结论微创复通术安全性高,能有效改善视力和眼压,提高手术成功率。

Objective To analyze the effect of different surgical treatments on glaucoma patients with filtering bleb fibrosis by filtering surgery.Methods A total of 82 glaucoma patients admitted to Yishui County People's Hospital from October 2020 to October 2021 were selected as the research subjects.All of the research objects had filtering surgery and fibrosis of the filtering bubbles.After admission,they were divided into open group and minimally invasive group according to the results of rolling dice,with 41 cases in each group.The former was treated with open radiotherapy and the latter was treated with minimally invasive reversal.The visual acuity and intraocular pressure of the two groups were observed and compared,the ocular complications of the patients of the operation were counted,and the satisfaction of the two groups was investigated.Results Before operation,there was no statistically significant difference in visual acuity and intraocular pressure between the two groups(P>0.05).After operation,the visual acuity and intraocular pressure of the two groups were better than that of the preoperative group,and the visual acuity of the minimally invasive group was higher than that of the open group,and the intraocular pressure of the minimally invasive group was lower than that of the open group,the difference was statistically significant(P<0.05).The incidence of ocular complications in the minimally invasive group(4.88%)was lower than that in the open group(19.51%),and the difference was statistically significant(χ^(2)=4.100,P=0.043).The satisfaction of minimally invasive group with IOP maintenance effect was 97.56%,the satisfaction with vision improvement effect was 95.12%,the satisfaction with treatment safety was 92.68%, and the satisfaction with eye discomfort was 97.56%, which were higher than those of open group (78.05%, 75.61%, 73.17%, 80.49%), and the difference was statistically significant (χ^(2)=7.289, 6.248, 5.513, 4.493, P =0.007, 0.012, 0.019, 0.034). Conclusion Minimally invasive recanalization is safe, can effectively improve visual acuity and intraocular pressure, and improve the success rate of surgery.