复合式青光眼滤过手术治疗原发性青光眼临床研究.docVIP

复合式青光眼滤过手术治疗原发性青光眼临床研究 　　摘要：目的：探讨观察原发性青光眼患者采用复合式青光眼滤过手术治疗的临床疗效。方法：选取我院收治的60例原发性青光眼（78只眼）按照双盲法分为观察组（采用复合式青光眼滤过术治疗）和对照组（采用单独的小梁切除术治疗），对比观察两组患者眼压、前房情况及视野变化情况。结果：两组患者术后眼压均有所下降，但观察组患者下降幅度更为显著（Plt;0.05），且在术后1年的眼压控制情况优于对照组（Plt;0.05）;观察组患者浅前房发生率为9.1%，其中I度2例，II度2例，对照组浅前房发生率为23.5%，其中I度5例，II度2例，III度1例，观察组浅前房发生率明显低于对照组（Plt;0.05）;早期两组患者均未出现视野损害进一步加重的症状，但是经过1年时间随访，观察组患者出现进行性视野损害12只眼（27.3%）明显少于对照组27只眼（79.4%），差异对比具有统计学意义（Plt;0.05）。结论：原发性青光眼患者采用复合式青光眼滤过术治疗的临床效果显著，可有效控制眼压，减少浅前房发生率，提高手术治疗效果，且眼压控制长久、稳定，有利于防止视野进行性损害。 　　关键词：原发性青光眼;复合式青光眼滤过术;临床研究 　　Clinical studies composite primary glaucoma glaucoma filtration surgery 　　Abstract： Objective： To investigate the observation of clinical efficacy in patients with primary glaucoma composite glaucoma filtration surgery. Methods： 60 cases admitted to our hospital with primary glaucoma （78 eyes） were divided into two groups according to the double-blind method （using composite glaucoma filtering surgery treatment） and a control group （with a separate trabeculectomy）， IOP were observed contrast， anterior chamber and vision changes. Results： The postoperative intraocular pressure has declined， but the decline in the observation group were more significant （P lt;0.05）， and after one year in the case of intraocular pressure control than the control group （P lt;0.05）; the observation group were shallow anterior chamber was 9.1%， of which 2 cases of grade I， II degree two cases， the control group was 23.5% shallow anterior chamber， in which the degree of five cases I， II degree two cases， the degree III 1 cases， shallow anterior chamber observation group was significantly lower than the control group （P lt;0.05）; early emergence of two groups of patients were not further aggravate the symptoms of visual field damage， but after one year of follow-up， patients in the observation group were 12 eyes visual field damage （27.3%） was significantly less than the control group， 27 eyes （79.4%）， the difference was statistically significant contrast （P lt;0.05）.