原发性闭角型青光眼小梁切除术后发生浅前房的影响因素分析

发布时间：2018-06-30 05:55

本文选题：原发性闭角型青光眼 + 小梁切除术　；参考：《新疆医科大学》2011年硕士论文

【摘要】：目的：研究原发性闭角型青光眼患者行小梁切除术后发生浅前房的影响因素。方法：选择2007年1月至2010年10月就诊于我院行小梁切除术的原发性闭角型青光眼患者共166例201眼,其中男40例50眼,女126例151眼。记录患者年龄、性别、青光眼类型、房角、前房深度、晶体厚度、眼轴长度、瞳孔大小及光反射灵敏度、术前及术后眼压,对术后发生浅前房患者与其余患者进行分组数据比较(t检验、卡方检验)及相应的统计学处理。结果：在该组患者中,共发生浅前房眼58眼,发生率28.86%。浅前房组与未发生组在前方深度、眼轴长度及自身两眼解剖参数差值方面无明显差异,晶体厚度组间有显著性差异,房角结构、术前眼压、术前与术后眼压差值、瞳孔光反射灵敏度组间均有显著差异。术后浅前房组与未发生组在性别、年龄、青光眼类型、术后眼压方面无明显差异。结论：原发性闭角型青光眼患者行小梁切除术后发生浅前房与患者自身解剖结构有关,晶体较厚、术前眼压过高、房角关闭、瞳孔光反射灵敏度差者易导致小梁切除术后发生浅前房。
[Abstract]:Objective: to study the influencing factors of shallow anterior chamber after trabeculectomy in patients with primary angle-closure glaucoma. Methods: a total of 166 cases (201 eyes) of primary angle-closure glaucoma were selected from January 2007 to October 2010, including 40 males (50 eyes) and 126 females (151 eyes). Age, sex, type of glaucoma, angle of atrium, depth of anterior chamber, thickness of lens, length of eye axis, pupil size, sensitivity of light reflex, intraocular pressure before and after operation were recorded. The patients with shallow anterior chamber after operation were compared with the other patients (t test, chi-square test) and the corresponding statistical processing. Results: there were 58 eyes with shallow anterior chamber in this group, the incidence was 28.86%. There was no significant difference between the shallow anterior chamber group and the non-occurring group in anterior depth, axial length and anatomic parameters of the two eyes. There were significant differences in lens thickness, atrial angle structure, intraocular pressure before and after operation, and the difference between preoperative and postoperative IOP. The sensitivity of pupillary light reflex was significantly different between the two groups. There was no significant difference in sex, age, glaucoma type and IOP between the superficial anterior chamber group and the non-occurring group. Conclusion: the shallow anterior chamber after trabeculectomy in patients with primary angle-closure glaucoma is related to the anatomical structure of the patient, the lens is thicker, the intraocular pressure is too high before operation, and the angle of atrium is closed. Poor sensitivity of pupil light reflex may lead to shallow anterior chamber after trabeculectomy.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R779.6

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