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丝裂霉素及透明质酸钠在小梁切除术中的应用

Application of Mitomycin C and Sodium Hyaluronate in trabeculectomy

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【作者】 鲁建华; 王彩霞;

【Author】 Lu Jianhua, Wang Caixia Department of Ophthalmology, Affiliated 2nd Hospital of Lanzhou Medical College, Lanzhou 730030

【机构】 兰州医学院第二附属医院眼科!730030; 甘肃康县人民医院!730030;

【摘要】 目的 :在小梁切除术中联合应用丝裂霉素和透明质酸钠 ,观察术后前房 ,眼压的恢复和控制情况。方法 :通过对 3 5例 3 7只眼 ,术中使用 0 .2 %的丝裂霉素棉片放置于巩膜瓣下 3分钟 ,手术将结束时 ,前房注入透明质酸钠。结果 :术后仅 2例前房形成不好 ,4例眼压控制不满意。绝大部分病例的眼压控制在较低水平。结论 :术中联合应用丝裂霉素及透明质酸钠 ,可提高青光眼滤过手术的成功率和安全性 ,减少并发症的发生。

【Abstract】 Objective: To evaluate the roles of Mitomycin C and Sodium Hyaluronate in trabeculectomy. Methods: For 37 eyes of 35 cases, 0.2% Mitomycin C cotton patch was put under sclera flap for 3 minutes and at ending stage Sodium Hyaluronate was injected into anterior chamber during the operation. Results: Intraocular tensions in most of the cases were controlled within normal lower range in post-operation. Anterior chambers of 2 cases were not well formed and intraocular tensions of 4 cases were still in high level. Conclusion: Application of Mitomycin C and Sodium Hyaluronate in trabeculectomy elevated the rate of success, made the operation more safety and reduced complications.

【关键词】 青光眼; 丝裂霉素; 透明质酸钠;
【Key words】 Glaucoma; Mitomycin C; Sodium Hyaluronate;
  • 【文献出处】 中国实用眼科杂志 ,Chinese Journal of Practical Opht , 编辑部邮箱 ,2001年06期
  • 【分类号】R779.6
  • 【被引频次】12
  • 【下载频次】21
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