ChinJOphthalmolandOtorhinolarvngol,March2005,Vo15,No．2可松解缝线在小梁切除手术中的临床应用唐广贤【摘要】目的观察可松解缝线在小梁切除手术中的应用效果。方法随机连续性选取需行手术治疗的原发性青光眼患者189例(251眼)分为两组，其中观察组97例(132眼)于小梁切除手术中应用可松解缝线；对照组92例(119眼)行常规的小梁切除手术。术后观察视力、眼压、前房深度及滤过泡情况，平均随访12．5±4．6个月。结果手术后早期两组前房深度和眼压差异显著；随访中眼压总的有效控制率：观察组为93．18％，对照组为94．12％，差异无显著性；功能型滤过泡观察组87．12％，对照组86．55％，两组比较差异无显著性；术后并发症：浅前房、前房出血、脉络膜脱离、低眼压性黄斑病变等，观察组明显低于对照组，差异有显著性。结论小梁切除术中应用可松解缝线，明显降低术后并发症，增加了手术的安全性。【关键词】小梁切除手术；可松解缝线；青光眼TheClinicalApplicationofTrabeculectomyWithReleasableSuturesTANGGuangxian．XingtaiOphthalmicHospita1．)~ngtai054001，Ch／naCorrespondingauthor：TANGGuanxian，E-mail：guangxiaraang@)'ahoo．corn．cn【Abstract】PurposeToobservetheefectoftrabeculeetomywithreleasablesutures．Methods251eyesof189consecutivepatientswithprimaryglaucomawererandomizedintotwogroups：132eyes(anobservedgroup)receivedtrabeculectomywithreleasablesutures，while119eyes(acontrolgroup)underwentnormaltrabeculectomy．Thevisualacuity，theintraoeularpressure(IOP)，theanteriorchamberdepthandthefilteringblebsweremeasuredandcomparedbetweenthetwogroups．Theaveragefollow-upperiodWas12．5±4．6months．ResultsTherewerestatisticallysignificantdiferencesintheanteriorchamberdepthandtheIOPintheearlypostoperativeperiodbetweenthetwogroups．TheSuccessrateofpostoperativeIOPWas93．18％intheobservedgroup，and94．12％inthecontrolgroup，ThereW&Snostatisticaldiferencebetweenthetwogroups(x2=0．09，P>0．05)．Thefunctionalfilteringbleb(kronfeldtypes)Was87．12％intheobservedgroup，and86．55％inthecontrolgroup．ThereWasnostatisticaldiference(=0．15，P>0．05)．Themaincomplicationsindludedshallowanteriorchamber，hyphema，chomidaldetachmentandhypotonymaculopathy．TheincidenceofthepostoperativecomplicationsintheobservedgroupWaslessthanthatinthecontrolgroup，andthereWassignificantdiferencebetwenthetwogroups．ConclusionsTrabeculectomywithreleasablesutuFescouldefectivelyreducetheincidenceofpostoperativecomplicationsandincreasethesafetyofthesurgery【Keywords】trabeculectomy；releasablesutures；glaucoma近年来，我们于小梁切除手术中应用可松解缝线，明显地降低了手术的并发症，取得了较好的效果。现报告如下：资料和方法一、一般资料随机连续性选取2001年3月～2003年5月间在我科收治的需行滤过性手术的原发性青光眼患者189例(251眼)，其中97例(132眼)在小梁切除手术中应用可松解缝线为观察组；92例(119眼)行常规的小梁切除手术作对照组。观察组中男52例(71眼)，女45例(61眼)。年龄18～79岁，平均56．20-4-3．52岁，其中急性闭角型青光23例(23眼)，慢性闭角型青光眼45例(63眼)，原发性开角型青光眼29例(46眼)。术前平均眼压32．58-4-河北省邢台市眼科医院眼科054001通讯作者：唐广贤(E-mail：guangxlantang@yah(~．(!Oll1．cn)·临床研究·8．12mmHg(1mmHg=0．133kPa)。对照组中男49例(63眼)，女43例(56眼)：年龄21～80岁，平均55．604-5．62岁。其中急性闭角型青光眼20例(20眼)，慢性闭角型青光眼47例(58眼)，原发性开角型青光眼25例(41眼)：术前平均眼压33．694-6．28mmHg。所有患者既往均无内眼手术史，经统计学检验两组配伍在性别、年龄、青光眼类型及术前眼压等方面均无统计学上的差异。二、手术方法所有手术均在微镜下按同样方法操作施行。采用球周麻醉，做以角膜缘为基底...
VIP
