小梁切除术后浅前房的临床分析.pdfVIP

小梁切除术后浅前房的临床分析 摘要【目的l：总结青光眼小梁切除术后发生浅前房的常见原因及处理方法。I方 眼患者，随机予45眼行单纯小梁切除术，38眼行小梁切除术联合可松解缝线 治疗，观察术后浅前房的情况及处理办法。【结果l：本组病例青光眼滤过术后 发生浅前房18例，发生率为21．69％。其中，单纯小梁切除术后浅前房14例， 发生率3I．11％，小梁切除术联合可松解缝线术后浅前房4例，发生率10．53％。 浅前房发生原因有：房水滤过过强14例(77．78％)，结膜瓣漏2例(11．11％)， 脉络膜脱离1例(5．56％)，睫状环阻滞性青光眼1例(5．56％)。需手术恢复前 房1例(5．56％)，其余均通过非手术方法即恢复前房。浅前房发生时间在术后 1～7天。【结论】：青光眼小梁切除术后浅前房发生率高，多数可通过非手术方法 恢复前房。小梁切除术联合可松解缝线，可有效降低青光眼术后浅前房的发生 率。 关键词：青光眼，小梁切除术，浅前房／并发症 Clinical theCauseofShallowofAnterior Analyze ChamberinGlaucomaafter LuoXin．modificationJu Tian by and QinYing Xiang． to the anterior AbstractAimsummarize ofshallowof causes、management chamberafter ofshallow trabeculectomy．MethodsAnalyzecauses、management ofanteriorchamberin 83 of6l aftercommon consecutivelyeyes patients or suturein in Medical modifiedreleasable ZunYi trabeculectomy trabeculectomy fromJan．2003toFeb．2005．ResultsTheincidenceofshallowofanterior College team chamberwas21．69％inthesecases．Theincidenceofthe after simply theotherteam was33．33％．and was7．90％．MOStofthesecases trabeculectomy were with one neededtoberestored therapy，only managednon-surgical eye andre—establishanteriorchamber．ConclusionsTheincidenceof COnjunctivalflap shallowofanteriorchamberis after the of high