【摘要】 目的观察非穿透性小梁手术(Nonperforating trabecular surggery,NPTS)联合经烧烙自体巩膜植入术治疗青光眼的临床效果。方法将39例(48眼)原发性开角型青光眼患者分为两组,实验组NPTS+经烧烙自体巩膜植入,对照组单纯NPTS。术后观察眼压、视力、滤过泡形态、并发症等,并做超声生物显微镜(UBM)观察。结果经12个月随访成功率实验组为91.7%,对照组为66.7%。术后1～12个月实验组眼压明显低于对照组(P<0.01)。术后3～12个月实验组功能性滤过泡及减压室存留情况均多于对照组(P<0.05),术后6～12个月实验组睫状体脉络膜上腔低回声暗区多于对照组(P<0.05)。结论非穿透性小梁手术联合经烧烙自体巩膜植入术,能有效降低眼压,经济安全术后视力稳定,值得临床应用推广。更多还原

【Abstract】 Objective To evaluate the clinical results of nonperforating trabecular surgery and cauterized autoplasty sclera in glaucoma.Methods 48 eyes of 39 patients withPrimary open-angle glaucoma were divided into 2 groups,experimental group:NPTS and sclera cauterized autoplasty,control group:simple NPTS.The postoperative intraocular pressure(IOP),intraocular reactions,the bleb status and the complications were recorded.The changes in ultrasound biomicroscopy(UBM0 wre analyzed.Results The patients were followed up 12 months.The rate of success was 91.7% in the experimental group and 66.7% in the control group.IOP of the experimental group was much lower than the control group in 1 to 12 months after surgery,the difference being statistically different(P<0.01).Postoperative functional blebs and intrascleral space under UBM of the experimental group were more than the control group in 3 to 12 months after surgery(P<0.05).Choroid low echo section under UBM of the experimental group were more than the control group in 6 to 12 months after surgery(P<0.05).Conclusions Nonperforating trabecular surgery and cauterized autoplasty sclera proceduce is effective,cheap,safe and worth to be applied in clinic.更多还原