两种术式治疗新生血管性青光眼的临床观察

发布时间：2018-04-23 21:06

本文选题：半导体激光 + 睫状体光凝　；参考：《吉林大学》2010年硕士论文

【摘要】： 目的:通过回顾性分析半导体二极管激光经巩膜睫状体光凝术(TSCPC)和睫状体冷凝术治疗晚期新生血管性青光眼(NVG)的临床资料,评价两种不同术式的疗效。方法:将50例(50眼)新生血管性青光眼随机分为两组,TSCPC组26例(26眼),睫状体冷凝组24例(24眼)为对照组。观察术前术后眼压、视力、术后疼痛、术后反应及并发症,并进行统计学分析。结果:除睫状体冷凝组术后第1天眼压与本组术前眼压无明显差异外(p0.05),其余两组术后眼压与本组术前眼压相比差异均具有显著性意义(p0.001);TSCPC组术后第1d、3d、1w眼压与睫状体冷凝组同期相比差异具有显著性意义(p0.001);TSCPC组术后1m、3m、6m与冷凝组同期眼压相比差异无显著性意义(p0.05)。两组术后视力比较其差异无显著性意义(p0.05)。TSCPC组术后疼痛时间明显短于睫状体冷凝组,差异具有显著性意义(p 0.001)。TSCPC组术后角膜水肿及前房纤维素渗出的发生率低于睫状体冷凝组,两组比较差异具有显著性意义(p 0.05)。两组术后均无严重并发症发生。术后6个月,两组治疗有效率相比差异无显著性意义(p0.05)。结论:两种手术方法对于治疗晚期NVG均有显著疗效。与睫状体冷凝术相比,TSCPC可使眼压短期内大幅度下降,疼痛迅速缓解,且术后并发症发生率更低,是治疗晚期NVG更安全和有效的方法。
[Abstract]:Objective: to retrospectively analyze the clinical data of TSCPC and NVG in the treatment of advanced neovascular glaucoma by using semiconductor diode laser transscleral ciliary body photocoagulation (TSCPC) and ciliary body condensation (ciliary body condensation). Methods: fifty patients (50 eyes) with neovascular glaucoma were randomly divided into two groups: TSCPC group (n = 26) and ciliary body condensation group (n = 24). Intraocular pressure, visual acuity, postoperative pain, postoperative reaction and complications were observed and analyzed statistically. Results: there was no significant difference in intraocular pressure (IOP) between the first day after operation and that before operation in the ciliary body condensation group (P 0.05). The IOP and the ciliary body pressure in the other two groups were significantly different from the preoperative IOP on the 1st day after operation in the TSCPC group (P 0.001) and the intraocular pressure and the ciliary body in the TSCPC group on the 1st day after operation. There was no significant difference in intraocular pressure (IOP) between the condensing group (p 0.001) and the condensing group (P 0.05). There was no significant difference in postoperative visual acuity between the two groups. The time of postoperative pain in the TSCPC group was significantly shorter than that in the ciliary body condensation group, and the incidence of corneal edema and fiber exudation in the 0.001).TSCPC group was lower than that in the ciliary body condensation group. There was significant difference between the two groups (P 0.05). There were no serious complications in both groups. 6 months after operation, there was no significant difference in the effective rate between the two groups (P 0.05). Conclusion: the two surgical methods are effective in the treatment of advanced NVG. Compared with ciliary body condensation, TSCPC can significantly decrease IOP in a short period of time, relieve pain rapidly, and reduce the incidence of postoperative complications. TSCPC is a more safe and effective method for the treatment of advanced NVG.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R779.6

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