复合小梁切除术后早期两种断线方法控制眼压临床疗效比较.docVIP

复合小梁切除术后早期两种断线方法控制眼压临床疗效比较 马英慧 马琳丽 承德医学院附属医院眼科 江苏省连云港市第二人民医院眼科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨小梁切除术后早期激光断线和针拨断线控制眼压的临床效果。方法:选取2014年8月至2017年2月50例 (50只眼) 原发性青光眼患者, 行复合式小梁切除手术, 术后密切观察, 必要时早期采用激光或针拨的方法切断巩膜缝线, 观察患者眼部主觉症状、视力、眼压及前房情况, 比较这两种断线方法在青光眼术后控制眼压的疗效。结果:术后1个月内, 采用激光断线18例 (激光组) , 针拨断线19例 (针拨组) 。至随访结束, 共成功38例 (76%) , 有效12例 (24%) ;断线的患者中, 激光组成功14例 (77.78%) , 针拨组成功15例 (78.95%) , 两组患者手术成功率比较差异无统计学意义 (P0.05) 。断线前激光组与针拨组主觉症状评分比较差异无统计学意义 (P0.05) ;断线后1d, 激光组主觉症状评分低于针拨组, 差异有统计学意义 (P0.05) ;断线后3d、7d激光组主觉症状评分与同时间针拨组比较, 差异均无统计学意义 (P0.05) 。断线的两组患者断线后1周最佳矫正视力、中央前房深度与断线前比较, 差异均无统计学意义 (P0.05) ;两组患者断线后1周、末次随访眼压与断线前比较, 差异均有统计学意义 (P0.05) 。随访发现均无严重并发症发生。结论:复合式小梁切除术后早期联合激光断线或针拨断线安全有效, 临床医生可根据医院及患者条件适当选择。 关键词： 原发性青光眼; 小梁切除术; 断线; 激光; 基金：承德市科学技术研究与发展计划项, (编号 Comparison of Two Kinds of Early Disconnection Methods for Intraocular Pressure Control after Complex Trabeculectomy MA Yinghui The Affiliated Hospital of Chengde Medical College; Abstract： Objective: To explore the clinical effect of early laser disconnection and needle disconnection for intraocular pressure control after trabeculectomy. Methods: Fifty primary glaucoma patients ( 50 eyes) were enrolled in the study from August 2014 to February 2017 in the affiliated hospital of Chengde Medical College. All patients accepted complex trabeculectomy. All patients were observed closely after surgery and accepted early needle or laser suture cut if necessary. Subjective symptoms, vision, intraocular pressure and anterior chamber were observed to compare effect of these two disconnection methods for intraocular pressure control after glaucoma surgery. Results: Within one month after surgery, 18 cases accepted laser disconnection ( laser group) , 19 cases accepted needle disconnection ( needle group) . To the end of follow-up, 38 cases of all ( 76%) were successful, 12 cases ( 24%) were effective. 14 cases ( 77.78%) in the laser group were successful, 15 cases ( 78.95