改良复合式小梁切除术治疗原发性闭角型青光眼临床效果探讨.docVIP

改良复合式小梁切除术治疗原发性闭角型青光眼临床效果探讨 　　[摘要] 目的 探讨改良复合式小梁切除术治疗原发性闭角型青光眼的临床效果。 方法 整群选取该院2013年9月―2015年9月原发性闭角型青光眼患者共52例，随机分为观察组和对照组，每组26例。给予对照组传统小梁切除术，给予观察组改良复合式小梁切除术。观察临床治疗效果。 结果 观察组浅前房发生率为3.4%，功能性滤过泡形成率为100%，均优于对照组，组间比较差异有统计学意义（P0.05）。 结论 改良复合式小梁切除术治疗原发性闭角型青光眼，能够降低术后浅前房的发生率，促进功能性滤过泡的形成，降低术后并发症的发生率，保障临床治疗效果。 　　[关键词] 改良复合式小梁切除术；原发性闭角型青光眼；临床效果 　　[中图分类号] R77 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0072-02 　　Clinical Effect Experience of Improved Compound Trabeculectomy in Treatment of Primary Angle-Closure Glaucoma 　　FAN Gui-qiong， ZHANG Hong， CUI Jin-peng， LV Han-tao， ZHANG Hai-tao， ZHANG Hai-xia 　　Ophthalmology Department， Honghe First peoples Hospital， Honghe， Yunnan Province， 661400 China 　　[Abstract] Objective To discuss the clinical effect of improved compound trabeculectomy in treatment of primary angle-closure glaucoma. Methods 52 cases of patients with primary angle-closure glaucoma treated in our hospital from September 2013 to September 2015 were selected and randomly divided into two groups with 26 cases in each， the control group were treated with traditional trabeculectomy， the observation group were treated with improved compound trabeculectomy， the treatment effect of the two groups was observed. Results The incidence of shallow of anterior chamber and the formation rate of functional bulb were respectively 3.4% and 100%， which were better than those in the control group and the differences between groups were obvious（P0.05）. Conclusion Improved compound trabeculectomy in treatment of primary angle-closure glaucoma can reduce the incidence of postoperative shallow of anterior chamber， promote the formation of functional bulb， reduce the incidence of postoperative complications and guarantee the clinical treatment effect. 　　[Key words] Improved compound trabeculectomy； Primary angle-closure glaucoma； Clinical 　　闭角型青光眼是临床上一种常见的青光眼类型，主要是由于患者眼球前房角关闭，眼内房水排出受阻而致。该疾病可以分为原发性与继发性两种类型，其中，原发性闭角型青光眼主要是指患者不存在其他眼病，仅因房角结构先天性拥挤，导致前房角关闭且房水流出受阻。目前，小梁切除术是治疗该疾病的一种经典方法，这种方法能够有