闭角型青光眼可松解缝线小梁切除术临床分析.docVIP

闭角型青光眼可松解缝线小梁切除术临床分析 　【关键词】 ,,闭角型青光眼 (广东省南雄市人民医院， 广东 南雄 512400) 　　摘 要：目的：探讨用可松解缝线小梁切除术治疗闭角型青光眼手术的特点，手术安全性及治疗效果。方法：回顾性分析进行可松解缝线小梁切除术治疗的42例48眼的术前术后视力、眼压、手术并发症和手术成功率。结果：本组病例手术前后均未出现暴发性脉络膜出血、眼内出血、恶性青光眼等严重并发症，浅前房的发生率低（6/48），6眼在高眼压状态下行小梁切除术的眼术后近期反应重，经过适当的处理，手术效果仍然良好；28眼低视力的闭角型青光眼行人工可松解缝线小梁切除术，有1眼出现残余视力丧失（1/28），说明该手术是较安全的，但也有导致残余视力丧失的风险。结论：闭角型青光眼行可松解缝线切除术是安全有效，对高眼压及低视力闭角型青光眼应及时手术治疗，以保持较好视功能。 　　关键词： 闭角型青光眼； 小梁切除术； 可松解缝线（可拆除缝线） 　　The Clinical Analysis of Suture Lysisable Trabeculectomy for Angle-closure Glaucoma 　　XIAO Fang-xing 　　(The People’s Hospital of Nanxiong, Guangdong Nanxiong 512400, China) 　　Abstract: Objective： To investigate the safety and efficacy of adjust suture trabeculectomy for angle-closure glaucoma. Methods： Retrospectivly analyzed 42 cases(48eyes) of angle-closure glaucoma, which underwent suture lysisable trabeculectomy, analyzed the IOP , visual acuity, complications and surgery outcome of the groups. Results: No severe complications such as choroidal hemorrhage, intraocular hemorrhage and malignant glaucoma were observed in all cases during surgery and postoperatively. The rate of flat anterior chamber was low, the recent react of high IOP eyes was severer, with the correct deal , the effect of the high IOP eyes as good as the others, one eye lose the vision in 28 eyes which with low vision angle -closure glaucoma during postoperatively. That`s say the suture lysis trabeculectomy was safe, but it has the risk of losing the vision. Conclusion: The suture lysis trabeculectomy for angle-closure glaucoma is safe and effective. To keep the visual function from more damage, trabeculectomy should be performed for these patients with the high IOP or low vision actively. 　　Key words： Angle-closure glaucoma； Trabeculectomy； Suture lysisable 　　现将我院1996年至2004年间闭角型青光眼行可松解缝线小梁切除术的病例进行回顾性地观察分析，现报告如下： 　　1 资料与方法 　　1.1 临床资料：闭角型青光眼42例48眼，男11例，14眼 ；女31例，34眼；年龄：39岁1例，40～49岁8例，50～59岁8例，60～69岁18例，70～79岁7例，眼别：右眼27眼，左眼21眼，其中双眼7例，手术前1d的眼压情况：用schitz眼压计测量眼压，小于20mmHg28眼，20～29mmH