【摘要】 目的探讨可拆除缝线小梁切除术联合丝裂霉素C在闭角型青光眼小梁切除术中的临床疗效和并发症。方法采用随机对照临床研究方法,将原发性闭角型青光眼55例随机分为2组。A组:小梁切除术+丝裂霉素C(MMC),29例(29眼);B组:可拆除缝线小梁切除术+MMC,26例(29眼)。观察并比较两组术后前房、眼压、早期并发症及滤过泡情况。结果术后3月、6月、1年2组间眼压差异及手术成功率差异均无统计学意义。术后浅前房的发生率两组间差异有统计学意义。B组浅前房发生率低于A组。结论小梁切除术+MMC与可拆除缝线小梁切除术+MMC两种术式相比疗效相当。可拆除缝线技术的应用有利于减少术后早期并发症。更多还原

【Abstract】 Objective To study trabeculectomy with releasable suture and evaluate its efficacy and complications in the patients of primary angle-closure glaucoma(PACG). Methods With a randomly,patients were divided into two groups.Twenty-nine eyes of 27 consecutive patients underwent trabeculectomy with MMC(Group A).Twenty-nine eyes of 29 consecutive patients underwent releasable suture trabeculectomy with MMC(Group B).IOP,anterior chamber(AC),complication were evaluated preoperatively and up to 12 months postoperatively.Results The differences of success rate between two groups were not significant after 3 months,6 months,12 months postoperatively.The incidence of shallow anterior chamber was significantly different between two group.Group B was lower than Group A. Conclusions Releasable suture trabeculectomy with MMC appears to be equivalent to trabeculectomy with MMC in lowering the IOP of patients with PACG.Using releasable suture technique can reduce the incidence of complications in the early postoperative period.更多还原