Ex-PRESS引流钉植入术与小梁切除术治疗开角型青光眼的早期疗效比较
发布时间：2018-07-13 15:51
【摘要】：目的对比观察Ex-PRESS引流钉植入术与小梁切除术治疗开角型青光眼(open angle glaucoma,OAG)的早期疗效与安全性。方法回顾性分析在我院同一时期接受Ex-PRESS引流钉(P50)植入术(29例33眼,Ex-PRESS组)与小梁切除术(28例36眼,小梁组)患者的临床资料,统计两组患者的病种构成、理论住院天数、并发症发生率、出入院时的视力和眼压变化情况,统计分析两种手术治疗OAG的短期疗效与安全性。结果 Ex-PRESS组和小梁组患眼中男女比例分别为1.75∶1、1.77∶1(P0.05);年龄分别为(39±3)岁、(41±3)岁(P0.05)。Ex-PRESS组中单纯的原发性开角型青光眼(primary open angle glaucoma,POAG)患者较少(P0.05)。Ex-PRESS组和小梁组病例的理论住院时间分别为(3.12±0.33)d、(4.47±1.67)d (P0.05),Ex-PRESS组的理论住院时间较短。Ex-PRESS组和小梁组的并发症发生率分别为0、8.33%(P0.05),Ex-PRESS组的并发症较少。Ex-PRESS组和小梁组患者手术前后视力变化平均值分别为0.009、0.096(P0.05),Ex-PRESS组术后视力下降较少。Ex-PRESS组和小梁组患者手术前后眼压下降值分别为(22.05±13.20)mmHg(1 kPa=7.5 mmHg)、(21.11±13.58)mmHg,两组手术前后眼压差异无统计学意义(P0.05)。结论Ex-PRESS引流钉植入术不仅能够达到小梁切除术相同的早期治疗效果,而且具有术后视力下降及并发症较少、术后恢复快、住院时间短等优点,除适用于单纯POAG外,尤其适用于各种继发性OAG和伴有危险因素POAG患者。
[Abstract]:Objective to compare the early efficacy and safety of Ex-PRESS drainage nail implantation and trabeculectomy in the treatment of open angle glaucoma (open angle glaucoma). Methods the clinical data of 29 patients (33 eyes of Ex-PRESS group) and 28 cases of 36 eyes of trabeculectomy (trabeculectomy group) received Ex-PRESS drainage nail (P50) and trabeculectomy in the same period were analyzed retrospectively. The incidence of complications, the changes of visual acuity and intraocular pressure (IOP) in hospital, and the short-term efficacy and safety of two kinds of operations in the treatment of OAG were analyzed statistically. Results in Ex-PRESS group and trabecular group, the ratio of male to female was 1.75: 1: 1.77: 1 (P0.05); the age was (39 卤3) years, (41 卤3) years (P0.05). There were fewer cases of primary open-angle (primary open angle glaucoma Poag in Ex-PRESS group (P0.05). Ex-PRESS group and trabecular group (P0.05). The incidence of complications in Ex-PRESS group and trabecular group was 0 ~ 8.33% (P0.05). The average visual acuity of Ex-PRESS group and trabecular group was 0.009 / 0.096 (P0.05), respectively. The postoperative visual acuity of Ex-PRESS group and trabecular group were 0.009 / 0.096 (P0.05). The incidence of complications in Ex-PRESS group was 0.33% (P0.05). The average visual acuity of Ex-PRESS group and trabecular group was 0.009 / 0.096 (P0.05). The postoperative visual acuity of Ex-PRESS group was less than that of Ex-PRESS group. The decrease of IOP was (22.05 卤13.20) mmHg (1.kPa7.5mmHg), (21.11 卤13.58) mmHg in Ex-PRESS group and trabecular group before and after operation, respectively. There was no significant difference in IOP between the two groups before and after operation (P0.05). Conclusion Ex-PRESS drainage nail implantation can not only achieve the same early treatment effect as trabeculectomy, but also has the advantages of reduced visual acuity, fewer complications, faster postoperative recovery and shorter hospital stay. It is suitable for simple Poag. It is especially suitable for patients with all kinds of secondary OAG and Poag with risk factors.
【作者单位】： 南方医科大学附属武汉临床学院 广州军区武汉总医院 全军眼科中心;
【分类号】：R779.6
本文编号：2119952
[Abstract]:Objective to compare the early efficacy and safety of Ex-PRESS drainage nail implantation and trabeculectomy in the treatment of open angle glaucoma (open angle glaucoma). Methods the clinical data of 29 patients (33 eyes of Ex-PRESS group) and 28 cases of 36 eyes of trabeculectomy (trabeculectomy group) received Ex-PRESS drainage nail (P50) and trabeculectomy in the same period were analyzed retrospectively. The incidence of complications, the changes of visual acuity and intraocular pressure (IOP) in hospital, and the short-term efficacy and safety of two kinds of operations in the treatment of OAG were analyzed statistically. Results in Ex-PRESS group and trabecular group, the ratio of male to female was 1.75: 1: 1.77: 1 (P0.05); the age was (39 卤3) years, (41 卤3) years (P0.05). There were fewer cases of primary open-angle (primary open angle glaucoma Poag in Ex-PRESS group (P0.05). Ex-PRESS group and trabecular group (P0.05). The incidence of complications in Ex-PRESS group and trabecular group was 0 ~ 8.33% (P0.05). The average visual acuity of Ex-PRESS group and trabecular group was 0.009 / 0.096 (P0.05), respectively. The postoperative visual acuity of Ex-PRESS group and trabecular group were 0.009 / 0.096 (P0.05). The incidence of complications in Ex-PRESS group was 0.33% (P0.05). The average visual acuity of Ex-PRESS group and trabecular group was 0.009 / 0.096 (P0.05). The postoperative visual acuity of Ex-PRESS group was less than that of Ex-PRESS group. The decrease of IOP was (22.05 卤13.20) mmHg (1.kPa7.5mmHg), (21.11 卤13.58) mmHg in Ex-PRESS group and trabecular group before and after operation, respectively. There was no significant difference in IOP between the two groups before and after operation (P0.05). Conclusion Ex-PRESS drainage nail implantation can not only achieve the same early treatment effect as trabeculectomy, but also has the advantages of reduced visual acuity, fewer complications, faster postoperative recovery and shorter hospital stay. It is suitable for simple Poag. It is especially suitable for patients with all kinds of secondary OAG and Poag with risk factors.
【作者单位】： 南方医科大学附属武汉临床学院 广州军区武汉总医院 全军眼科中心;
【分类号】：R779.6
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1 赵春梅;Ex-PRESS青光眼引流器治疗难治性青光眼的疗效观察[D];天津医科大学;2013年
，本文编号：2119952
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