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时间:2017-12-10
《可松解缝线在小梁切除手术中的临床应用》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
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
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