羊膜移植在复合式小梁切除术治疗难治性青光眼的临床研究.docVIP

精品论文 参考文献 羊膜移植在复合式小梁切除术治疗难治性青光眼的临床研究 山东省昌邑市人民医院 261300 【摘 要】目的：对羊膜移植在复合式小梁切除术治疗难治性青光眼的临床效果予以分析和探讨。方法：将2014年1月至2015年12月期间于我院进行治疗的难治性青光眼患者68例随机均分为两组，分别为观察组和对照组。对照组使用复合式小梁切除术治疗，观察组在对照组的基础上联合使用羊膜移植进行治疗。对两组患者的治疗效果以及治疗有效率进行比较。结果：观察组患者的治疗效果以及治疗有效率明显高于对照组患者，且Plt;0.05，差异具有统计学意义。结论：在使用复合式小梁切除水治疗难治性青光眼的过程中，联合使用羊膜移植进行治疗效果更为显著，手术成功率较高，术后不良反应以及并发症的发生率低，术后眼压恢复良好，值得我们在临床上进一步的推广和使用。 【关键词】羊膜移植；复合式小梁切除术；难治性青光眼 Abstract：objective：to amniotic membrane transplantation in the composite effect of trabeculectomy in the treatment of refractory glaucoma were calculated and discussed. Methods：between January 2014 and December 2015 in our hospital during the period of treatment of refractory glaucoma patients，68 cases were divided into two groups at random，the observation group and control group respectively. Control group treated with combined trabeculectomy，the observation group in the control group on the basis of combination of amniotic membrane transplantation for treatment. Therapeutic effect of two groups of patients and to compare the efficiency. Results：the curative effect of observation group of patients and treatment efficiency is significantly higher than the control group patients，and P lt; 0.05，the difference is statistically significant. Conclusion：in the use of composite trabecular resection in the process of water treatment of refractory glaucoma，a combination of a more significant effect of amniotic membrane transplantation for treatment，surgical success rate is high and low incidence of adverse reactions and complications，postoperative intraocular pressure recovery is good，is worth our further popularization and use in clinic. Key words：amniotic membrane transplantation；Combined trabeculectomy；Refractory glaucoma 【中图分类号】R775 【文献标识码】A 【文章编号】2096-0867（2016）09-019-01 难治性青光眼通过药物通常很难控制眼压，是眼科较为常见的一种疾病[1]。引发难治性青光眼的原因很多，其中糖尿病性视网膜病变、视网膜中央静脉阻塞等眼底血管性病变等是比较常的原因[2]。本次研究通过对2014年1月至2015年12月期间于我院进行治疗的难治性青光眼患者68例进行回顾性分析，旨在对羊膜移植在复合式小梁切除术治疗难治性青光眼的临床效果予以分析和探讨。具体情况报告如下。 1资料与方法 1.1