浅谈82例对比不缝合结膜瓣青光眼小梁切除术与传统青光眼小梁切除术的可行性.docVIP

精品论文 参考文献 浅谈82例对比不缝合结膜瓣青光眼小梁切除术与传统青光眼小梁切除术的可行性 彭 琦1 李 弋（通讯作者） 徐晓红1 蔡婷婷1 张长虹1 朱行侠1 　　（1解放军第454医院眼科 江苏 南京 210002） 　　（2常州市看守所 江苏 常州 213000） 　　【摘 要】目的：比较不缝合结膜瓣青光眼小梁切除术与传统青光眼小梁切除术治疗青光眼的效果。方法：取青光眼患者100例，依据不同的手方法分为观察组和对照组，各50例。比较两组手术时间、住院时间、术后视力、出院前眼压、术后浅前房和消失眼数。结果：观察组平均手术时间和住院时间短于对照组，术后视力和出院前眼压优于对照组，术后浅前房和消失眼数少于对照组，两组比较差异有统计学意义，Plt;0.05。结论：与传统青光眼小梁切除术相比，不缝合结膜瓣青光眼小梁切除术在提高治疗效果的前提下缩短了手术时间和住院时间，临床应用价值更高。 　　【关键词】不缝合结膜瓣青光眼小梁切除术；传统青光眼小梁切除术；治疗效果；对比 　　【中图分类号】R775.1 【文献标识码】B 【文章编号】1003-5028（2015）5-0137-01 　　【Abstract】Objective: To compare the conjunctival flap was sutured trabeculectomyand traditional trabeculectomy in treatment of glaucoma. Methods: 100 cases ofpatients with glaucoma, according to the different methods of hand were divided intoobservation group and control group, each of 50 cases. Compare two groups of operation time, hospitalization time, postoperative visual acuity, intraocular pressurebefore discharge, postoperative shallow anterior chamber and disappearance ofeyes. Results: in the observation group, the average operation time and hospitalization time was shorter than the control group, postoperative visual acuity and intraocular pressure was better than that of the control group before discharge,postoperative shallow anterior chamber and disappearance of eye is less than that of the control group, there was significant difference between two groups, Plt;0.05.Conclusion: compared with traditional trabeculectomy without conjunctival flap sutureand trabeculectomy in the treatment effect under the premise of improving the operation time and hospitalization time shortened, higher clinical value. 　　【Key words】no conjunctival flap suture trabeculectomy; traditional trabeculectomy;treatment effect; comparison 　　小梁切除术是目前治疗青光眼最有效的滤过引流术，但传统小梁切除术具有较多的并发症，如浅前房、前房积血、高眼压、低眼压等近期并发症和巩膜、结膜下组织纤维增生等远期并发，这些并发症可导致手术失败，影响患者的生活质量[1]。为提高临床疗效，我院对传统小梁切除术进行改良，采用不缝合结膜瓣小梁切除术治疗青光眼，现将具体治疗情况总结如下。 　　1 资料与方法 　　1.1一般资料 　　取我院2011年1月至2013年12月收治的青光眼患者100例，并分为观察组和对照组，其中观察组50例行不缝