小梁切除术治疗青光眼的效果观察.docVIP

精品论文 参考文献 小梁切除术治疗青光眼的效果观察 刘艳琼 　　湖南省宁远县人民医院 湖南永州 425600 　　【摘 要】目的：研究小梁切除术治疗青光眼的效果。方法：回顾性分析2014年3月—2015年3月我院青光眼患者60例，根据掷硬币法，分为2组，改良组和传统组。传统组以传统小梁切除术进行治疗；改良组以复合式小梁切除术进行治疗。就两组患者术前、术后1个月、术后3个月、术后6个月眼压水平和视力提高率、视野改善率、并发症率进行比较。结果：改良组视力提高率、视野改善率明显高于传统组，并发症率明显低于传统组，X2检验显示P＜0.05。两组患者术前眼压水平相似，t检验显示P＞0.05。改良组患者术后1个月、术后3个月、术后6个月眼压水平均低于传统组，t检验显示P＜0.05。结论：小梁切除术治疗青光眼的效果确切，可有效改善患者视力和视野，恢复眼压，手术安全可靠，值得推广。 　　【关键词】小梁切除术；青光眼；效果 　　【abstract】 objective：to study the effect of trabeculectomy for glaucoma. Methods：a retrospective analysis in March 2014，60 cases of our hospital in March 2015 glaucoma patients，according to a coin toss，divided into 2 groups，improved group and traditional group. Traditional group in the traditional trabeculectomy for treatment；Improved group with combined trabeculectomy for treatment. On two groups of patients with preoperative and postoperative 1 month，3 months after operation，postoperative intraocular pressure level 6 months and increase rate of vision，vision period，rate of complications were compared. Results：the increase rate of vision，vision period improved group was obviously higher than that of traditional group，the complication rate is significantly lower than the traditional group，X2 test showed P lt; 0.05. Two groups of patients with preoperative intraocular pressure level similar to that of t test showed that P gt; 0.05）. Improved group patients postoperative 1 month，3 months after operation，postoperative intraocular pressure level is lower than the traditional group，6 months t test showed P lt; 0.05. Conclusion：the treatment of glaucoma trabeculectomy results exactly，which can effectively improve eyesight and vision，intraocular pressure，safe and reliable operation，is worth promoting. 　　【key words】trabeculectomy. Glaucoma；The effect 　　青光眼为临床上非常常见的眼科疾病，为致盲重要因素，致盲具有不可逆特点。近年来，随着青光眼发病逐年增多，药物治疗、激光、手术治疗等多种方式被广泛应用，经典小梁切除术为原发性青光眼有效疗法，但可带来严重前房反应、滤道阻塞、浅前房、虹膜后粘连等术后并发症，导致其应用受到一定限制。而复合式小梁切除术可有效克服经典术式的缺陷，操作更为简单，术后并发症少，恢复快。本研究探讨了小梁切除术治疗青光眼的效果，报道如下： 　　1 资料与方法 　　1.1