不同前房深度急性闭角型青光眼持续高眼压患者的手术疗效分析

发布时间：2018-05-29 10:43

本文选题：急性闭角型青光眼 + 小梁切除术　；参考：《眼科新进展》2014年04期

【摘要】：目的探讨不同前房深度急性闭角型青光眼持续高眼压患者的手术疗效。方法选取2008年1月至2012年12月我院急性闭角型青光眼持续高眼压患者142例(142眼),根据术前前房深度将患者分为3组,A组45例行小梁切除术联合玻璃体抽吸;B组42例先行前房穿刺降眼压,再行小梁切除术;C组55例先给予药物等非手术治疗降眼压至低于30 mmHg(1 kPa=7.5 mmHg),再行小梁切除术。记录3组患者入院时、术后1周的眼压,同时观察术前及术后1个月视力,并观察3组患者相关并发症的发生情况。结果 A组、B组和C组患者入院眼压分别为(49.02±2.97)mmHg、(49.53±3.87)mmHg、(48.76±4.65)mmHg,组间差异均无统计学意义(均为P0.05);术后1周眼压均较术前显著降低,差异均有统计学意义(均为P0.05),其中A组低于B组和C组,差异均有统计学意义(均为P0.05)。A组、B组和C组术前视力组间比较,差异均无统计学意义(均为P0.05);3组患者术后1个月视力均显著增加(均为P0.05);B组高于A组和C组(均为P0.05),A组和C组相比,差异无统计学意义(P0.05)。3组并发症发生率分别为13.3%、50.0%和11.4%,3组之间相比差异有统计学意义(χ2=18.87,P0.01)。结论急性闭角型青光眼持续高眼压行小梁切除术时应同时抽吸玻璃体,提高患者预后。
[Abstract]:Objective to investigate the operative effect of acute angle closure glaucoma (ACG) with different anterior chamber depth in patients with persistent high intraocular pressure (IOP). Methods from January 2008 to December 2012, 142 patients with persistent high intraocular pressure (IOP) of acute angle closure glaucoma in our hospital were divided into 3 groups according to the depth of anterior chamber. Group A, 45 cases underwent trabeculectomy combined with vitreous aspiration, group B 42. First, anterior chamber puncture was performed to reduce intraocular pressure (IOP). In group C, 55 cases were treated with non-surgical treatment, such as medicine, to reduce IOP to less than 30 mmHg(1 kPa=7.5, and then trabeculectomy. Intraocular pressure (IOP) was recorded at admission and 1 week after operation, visual acuity was observed before and 1 month after operation, and complications were observed. Results the IOP of group A and group C were 49.02 卤2.97mm Hgmg and 49.53 卤3.87mm Hgmg, respectively. There was no significant difference between group A and group C (P 0.05), the IOP of group A was significantly lower than that of preoperation at 1 week (P 0.05), and the difference between group A and group C was lower than that of group B and C (P 0.05), and the intraocular pressure (IOP) in group A was significantly lower than that in group B (P 0.05) and group C (P 0.05), and the intraocular pressure (IOP) in group C was significantly lower than that in group C (P 0.05). The difference was statistically significant (P 0.05). The visual acuity of group B and group C were significantly different before operation. The visual acuity of group B was significantly higher than that of group A and group C (all P0.05A and C), and the visual acuity of group B was significantly higher than that of group A and C (P 0.05). There was no significant difference in the incidence of complications between the three groups (蠂 ~ 2 / 18.87 / P ~ (0.01). The incidence of complications was 13.30.0% and 11.4% respectively (蠂 ~ 2 / 18.87 / P ~ (0.01). Conclusion in order to improve the prognosis of patients with acute angle-closure glaucoma, simultaneous aspiration of vitreous should be performed during trabeculectomy with sustained high intraocular pressure.
【作者单位】：吉安市中心人民医院眼科;
【分类号】：R779.6

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