【摘要】 目的:分析可调节缝线在小梁切除手术治疗闭角型青光眼中的作用。方法:将2004年6月～12月间住院的55例(58只眼)闭角型青光眼患者随机分为两组,其中29例29只眼(A组)行常规小梁切除手术,26例29只眼(B组)在常规手术基础上加用可调节缝线。观察两组术后有无浅前房形成、术后眼压的变化及住院天数。结果:A组8人(27.6%)发生术后浅前房,B组无浅前房发生,两组有显著性差异(P<0.01)。A组术后2周平均眼压为(12.9±0.9)mmHg;B组术后2周平均眼压为(13.2±1.0)mmHg,两组无显著性差异(P>0.05)。A组平均住院时间(11.5±4.6)天,B组(8.0±2.3)天,两组有显著性差异(P<0.01)。结论:小梁切除手术加用可调节缝线与传统滤过性手术降眼压效果相当,术后并发症少,可明显缩短患者住院时间,是治疗闭角型青光眼安全有效的方法之一。更多还原

【Abstract】 Objective;To compare the short-term efficacy of using releasable sutures vs conventional trabeculectomy.Methods;55 cases(58 eyes) consecutive patients with Primary Angle-closure Glaucoma (PACG) have undergone trabeculectomy in Tianjin Eye Hospital from June 2004 to Dec.2004.29 cases (29 eyes) with traditional trabeculectomy were used as control group (group A),while 26 cases (29 eyes) with scleral-flap releasable sutures were the treated group (group B).the depth of anterior chamber (AC),post-operative intraocular pressure and days in the hospital were observed.Results;8 eyes (27.6%) developed postoperative shallow AC in group A,and 0 cases in group B (P<0.01).Two weeks after operation,the intraocular pressure was similar in group A to that of group B.There is no differences between the success rate of the two groups.The days staying in the hospital of group B is less than that of group A (P<0.01).Conclusion;Releasable scleral-flap sutures reducing the incidence of shallow and flat chamber after trabeculectomy with the same success rate of traditional surgery is one of the safe and effective methods to treat PACG.更多还原