可松解缝线在小梁切除手术中的临床应用

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1、ChinJOphthalmolandOtorhinolarvngol,March2005,Vo15,No．2·临床研究·可松解缝线在小梁切除手术中的临床应用唐广贤【摘要】目的观察可松解缝线在小梁切除手术中的应用效果。方法随机连续性选取需行手术治疗的原发性青光眼患者189例(251眼)分为两组，其中观察组97例(132眼)于小梁切除手术中应用可松解缝线；对照组92例(119眼)行常规的小梁切除手术。术后观察视力、眼压、前房深度及滤过泡情况，平均随访12．5±4．6个月。结果手术后早期两组前房深度和眼压差异显著；随访中眼压总的有效控制率：观察组为93．18％，对照组为94．12％，差异无显著

2、性；功能型滤过泡观察组87．12％，对照组86．55％，两组比较差异无显著性；术后并发症：浅前房、前房出血、脉络膜脱离、低眼压性黄斑病变等，观察组明显低于对照组，差异有显著性。结论小梁切除术中应用可松解缝线，明显降低术后并发症，增加了手术的安全性。【关键词】小梁切除手术；可松解缝线；青光眼TheClinicalApplicationofTrabeculectomyWithReleasableSuturesTANGGuangxian．XingtaiOphthalmicHospita1．)~ngtai054001，Ch／naCorrespondingauthor：TANGGuanxian，E

3、-mail：guangxiaraang@)'ahoo．corn．cn【Abstract】PurposeToobservetheefectoftrabeculeetomywithreleasablesutures．Methods251eyesof189consecutivepatientswithprimaryglaucomawererandomizedintotwogroups：132eyes(anobservedgroup)receivedtrabeculectomywithreleasablesutures，while119eyes(acontrolgroup)underwentno

4、rmaltrabeculectomy．Thevisualacuity，theintraoeularpressure(IOP)，theanteriorchamberdepthandthefilteringblebsweremeasuredandcomparedbetweenthetwogroups．Theaveragefollow-upperiodWas12．5±4．6months．ResultsTherewerestatisticallysignificantdiferencesintheanteriorchamberdepthandtheIOPintheearlypostoperati

5、veperiodbetweenthetwogroups．TheSuccessrateofpostoperativeIOPWas93．18％intheobservedgroup，and94．12％inthecontrolgroup，ThereW&Snostatisticaldiferencebetweenthetwogroups(x2=0．09，P>0．05)．Thefunctionalfilteringbleb(kronfeldtypes)Was87．12％intheobservedgroup，and86．55％inthecontrolgroup．ThereWasnostatistica

6、ldiference(=0．15，P>0．05)．Themaincomplicationsindludedshallowanteriorchamber，hyphema，chomidaldetachmentandhypotonymaculopathy．TheincidenceofthepostoperativecomplicationsintheobservedgroupWaslessthanthatinthecontrolgroup，andthereWassignificantdiferencebetwenthetwogroups．ConclusionsTrabeculectomywit

7、hreleasablesutuFescouldefectivelyreducetheincidenceofpostoperativecomplicationsandincreasethesafetyofthesurgery【Keywords】trabeculectomy；releasablesutures；glaucoma近年来，我们于小梁切除手术中应用可松解缝线，8．12mmHg(1mmHg=0．133kPa)。明显地降低了手术的