改良小梁切除术联合丝裂霉素C治疗原发性青光眼效果观察

发布时间：2019-08-03 19:54

【摘要】：目的观察改良小梁切除术联合丝裂霉素C治疗原发性青光眼的效果。方法选择原发性青光眼患者124例(144眼),随机分为观察组和对照组各62例(72眼)。观察组和对照组先将含丝裂霉素C棉片覆于巩膜板层,作用时间2~3 min后分别行改良小梁切除术和传统小梁切除术。术后随访1年,检查患者术后1、2、4、8、12个月时的眼压及视力。结果两组术前眼压和视力比较无统计学差异,术后两组眼压均降低、视力均有提高(P均0.05);与对照组术后比较,观察组眼压降低、视力提高(P均0.05)。结论改良小梁切除术联合丝裂霉素C治疗原发性青光眼,能有效控制患者眼压,改善患者视力。
[Abstract]:Objective to observe the effect of modified trabeculectomy combined with mitomycin C in the treatment of primary glaucoma. Methods 124 patients (144 eyes) with primary glaucoma were randomly divided into observation group (n = 62) and control group (n = 72). In the observation group and the control group, mitogen C cotton tablets were coated on the scleral lamellar layer for 2 min and 3 min, respectively. The patients were followed up for 1 year. Intraocular pressure (IOP) and visual acuity (IOP) were examined at 1, 2, 4, 8, 12 months after operation. Results there was no significant difference in intraocular pressure and visual acuity between the two groups before operation, but the intraocular pressure and visual acuity were decreased and visual acuity was improved in both groups after operation (P 0.05), and the intraocular pressure and visual acuity in the observation group were lower than those in the control group (P 0.05). Conclusion modified trabeculectomy combined with mitomycin C in the treatment of primary glaucoma can effectively control intraocular pressure and improve visual acuity.
【作者单位】：平度市人民医院;青岛大学;
【分类号】：R779.6

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