探讨E—PRESS青光眼引流器植入术与小梁切除术治疗外伤性青光眼的效果对比观察.docVIP

探讨Ex—PRESS青光眼引流器植入术与小梁切除术治疗外伤性青光眼的效果对比观察 黑龙江省牡丹江绥芬河市人民医院157399 目的研究分析Ex-PRESS青光眼引流器植入术与小梁切除术治疗外伤性 青光眼的临床效果。方法此次研宄的对象是选择外伤性青光眼40眼，将其临床 资料进行回顾性分析，并随机分为两组。Ex-PRESS青光眼引流器植入术组(A组， 21眼)和小梁切除术组(B组，19眼)，末次随访时间术后1年，分别对两组术 后视力、眼压、成功率进行比较。结果A组患者治疗后视力改善率明显高于B 组(Plt;0.05), A组和B组患者术后眼压较术前明显下降(Plt;0.05),而远期 随访A组术后平均眼压明显低于B组(Plt;0.05), A组和B组术后绝对成功率 和失败率比较，差异有统计学意义(Plt;0.05), A组绝对成功率明显高于B组， A组失败率明显低于B组。结论Ex-PRESS青光眼引流器植入术治疗外伤性青光 眼相对简便、安全、微创、学习曲线短，成功率高，值得临床推广使用。 关键词：Ex-PRESS青光眼引流器；小梁切除术；外伤性青光眼 [Abstract] Objective To study the clinical effect of Ex-PRESS glaucoma drainage device implantation and trabeculectomy in the treatment of traumatic glaucoma. Methods 40 eyes of traumatic glaucoma were selected，the clinical data were retrospectively analyzed, and were randomly divided into two groups. The postoperative visual acuity, intraocular pressure and success rate were compared between two groups(A group, 21 eyes)and trabeculectomy group(group B, 19 eyes), 1 eyes at last follow-up time, years after surgery. Results after treatment, the patients in the group a visual improvement rate was significantly higher than that in group B (P lt; 0.05)，group A and group B patients IOP before operation decreased significantly (P lt; 0.05), and long-term follow-up after operation in group A, the average IOP was significantly lower than that in group B (P lt; 0.05)， group A and group B were absolute success rate and failure rate is relatively, the difference is statistically significant(P lt; 0.05), a group of absolute success rate was significantly higher than that in group B, group a failure rate was significantly lower than that in group B. Conclusion the Ex-PRESS glaucoma drainage device implantation is a simple, safe, minimally invasive, short learning curve for the treatment of traumatic glaucoma. It has high success rate, and is worthy of clinical application. [Key words] Ex-PRESS glaucoma drainage device； trabeculectomy； traumatic glaucoma 眼外伤是眼球或其附属器因受外来的机械性、物理性或化学性伤害, 发生各种病理性改变而损害其正常功能的外伤疾病