探讨改良Ahmed青光眼引流阀植入术治疗难治性青光眼的疗效.docVIP

精品论文 参考文献 探讨改良Ahmed青光眼引流阀植入术治疗难治性青光眼的疗效 北安市第一人民医院 164000 摘要： 目的 研究分析改良Ahmed青光眼引流阀植入术治疗难治性青光眼的临床效果。方法 此次研究的对象是选取2012年9月～2014年9月入住本院的30例（32眼）难治性青光眼患者，将其临床资料进行回顾性分析，并行改良Ahmed青光眼引流阀植入术治疗，比较手术前后的眼压、视力，记录术后并发症发生情况。结果 术后1、3、12个月的平均眼压显著低于术前，差异有统计学意义（Plt;0.05）。术后1、3、12个月的总成功率比较，差异无统计学意义（Pgt;0.05）。术后的视力水平显著优于术前，差异有统计学意义（Plt;0.05）。术后并发症包括短暂性浅前房6眼、前房积血6眼和引流管后移1眼，经保守治疗均好转。结论 改良Ahmed青光眼引流阀植入术能有效治疗难治性青光眼，提高手术成功率，值得临床推广应用。 　　关键词： 改良；Ahmed青光眼引流阀植入术；难治性青光眼；眼压 　　[Abstract] Objective To study the clinical effect of modified Ahmed glaucoma drainage valve implantation in the treatment of refractory glaucoma. Methods the research object is selected in September 2012 to September 2014 admitted in our hospital in 30 cases（32 eyes）with refractory glaucoma patients，their clinical data were retrospective analysis，parallel modified Ahmed glaucoma valve implantation for the treatment，compared before and after operation of intraocular pressure，visual acuity，recorded postoperative complications. Results the mean IOP of 1，3 and 12 months after operation was significantly lower than that before operation，and the difference was statistically significant（Plt;0.05）. The total success rate of 1，3，12 months after operation，the difference was not statistically significant（Pgt;0.05）. Postoperative visual acuity was significantly better than preoperative，the difference was statistically significant（Plt;0.05）. Postoperative complications included transient shallow anterior chamber，6 eyes，6 eyes of anterior chamber and 1 eyes of drainage tube. Conclusion modified Ahmed glaucoma drainage valve implantation can be effective in the treatment of refractory glaucoma，improve the success rate of surgery，it is worthy of clinical application. [keyword] improvement；Ahmed glaucoma valve implantation；refractory glaucoma；intraocular pressure 难治性青光眼属于临床常见疾病，是指经最大耐受药物或常规滤过手术联合抗代谢药物治疗仍难以控制病情，将眼压降至正常范围的青光眼[1-2]，其主要类型包括无晶状体性青光眼、新生血管性青光眼、严重外伤性青光眼、滤过手术失败的青光眼、发育性或先天性青光眼、玻璃体或视网膜术后青光眼等[3]。难治性青光眼的眼部病情复杂，常规滤过术治疗仅有11