黄斑水肿在白内障摘出术与青光眼小梁切除术后临床研究.docVIP

黄斑水肿在白内障摘出术与青光眼小梁切除术后临床研究 　　摘要：目的： 通过分析白内障摘除术和青光眼小梁切除术后黄斑水肿的临床症状，研究其有效的治疗方法。方法： 选取我院2010年―2014年期间收治白内障摘除术和青光眼小梁切除术后出现的18例（20眼）黄斑水肿患者为研究对象，给予口服维生素B1、腺苷B12和肌苷片治疗，同时于玻璃体内注射曲安奈德，统计处理临床疗效。结果： 白内障摘除术患者中有11例（13眼）出现黄斑水肿，发病率为4.96%;230例（154眼）行青光眼小梁切除术患者中有7例（7眼）出现黄斑水肿，发病率4.54%。经药物治疗后白内障摘除术组黄斑水肿患者痊愈7例7眼，好转3例5眼，有效率为72.7%;青光眼小梁切除术组黄斑水肿患者痊愈4例4眼，好转2例2眼，有效率85.7%，对比差异显著（Plt;0.05）。结论： 白内障摘除术后黄斑水肿发生率要高于青光眼小梁切除术，与玻璃体内注射曲安奈德可帮助患者恢复视力，临床效果良好。 　　关键词：白内障摘除术;青光眼小梁切除术;黄斑水肿 　　Abstract ：Objective analysis of cataract surgery and the clinical symptoms of macular edema after trabeculec to my through objective， to study the effective method of treatment. Methods in our hospital from 2010 to 2014 were occurred in 18 cases during cataract surgery and glaucoma after trabeculec to my in patients with macular edema （20 eyes） as the research object， given oral vitamin B1， adenosine and inosine tablets in the treatment of B12， at the same time in in travitreal injection of Cu Ann Ned， statistical treatment of clinical curative effect.The Results cataract surgery in 11 patients （13 eyes） appear macular edema， the incidence rate was 4.96%;230 cases （154 eyes） underwent glaucoma surgery in 7 patients （7 eyes） appear macular edema， incidence of a disease 4.54%. After drug treatment for cataract surgery group were cured in 7 cases of macular edema in 7 eyes， 3 cases were improved in 5 eyes， 72.7% efficiency; glaucoma trabeculec to my group were cured 4 cases of macular edema in 4 eyes， 2 cases were improved in 2 eyes， efficiency 85.7%， contrast difference is significant （Plt;0.05）. Conclusion macular edema after cataract extraction rate is higher than the glaucomatrabeculectomy， and in travitreal injection of triamcinolone acetonide can help patients restore vision， good clinical effect. 　　Keyword： cataract surgery; trabeculectomy; macular edema 　　黄斑水肿是白内障摘除术和青光眼小梁切除术后常见的并发症之一，极易对患者的视力造成损害，黄斑水肿的发病因素复杂多样，因其会导致患者严重的视力障碍且尚未有好的治疗方法而备受医学界关注，除传统激光逛凝方法外，近些年有部分研究者从药物和玻璃体手术方面做了深入研究，尤其是曲安奈德和VGEF拮抗剂与眼内注射取得效果最为显著[1