| 谭娟，李雅，罗维骁，罗君，李茂炎.复合小梁切除联合房角分离术治疗急性闭角型青光眼.[J].中南医学科学杂志.,2014,42(1):55-57. |
| 复合小梁切除联合房角分离术治疗急性闭角型青光眼 |
| Combined Trabeculectomy and Goniosynechialysis forAcute Angle-Closure Glaucoma |
| 投稿时间：2013-10-08 |
| DOI： |
| 中文关键词: 青光眼 闭角型 小梁切除术 房角分离术 |
| 英文关键词:glaucoma angle-closure trabeculectomy goniosynechialysis |
| 基金项目:湖南省教育厅科学研究项目(重点)（编号：湘财教指［2004］50号）. |
|
| 摘要点击次数: 830 |
| 全文下载次数: 1496 |
| 中文摘要: |
| 目的探讨复合小梁切除联合房角分离术治疗急性闭角型青光眼疗效。方法急性闭角型青光眼患者52例56眼，用2%毛果芸香碱眼液治疗后眼压可降低至正常范围内,一周后行复合小梁切除联合房角分离术，观察术后3个月时的前房及房角情况、视力﹑眼压﹑并发症。结果术后3个月与术前比较，52例56眼中38眼视力提高，14眼视力不变，4眼视力下降；术后3月时平均眼压（14.76±3.42）mmHg，与术前眼压（54.65±9.88）mmHg比较差异有统计学意义（t=27.12，P＜0.001），术中术后均未出现严重并发症；所有术眼术后一周前房明显较术前加深，术后3月时UBM复查前房深度，与术前相比较差异无统计学意义（t=0.538，P＞0.5）；房角情况：术前48眼房角全部粘连闭合,8眼房角闭合3/4周，术毕时间接房角镜下检查56眼前房角均360°开放，术后3月房角复查17眼房角粘闭＞1/2周，34眼房角粘闭≤1/2周，5眼房角开放。结论复合小梁切除联合房角分离术治疗急性闭角型青光眼安全有效 |
| 英文摘要: |
| ObjectiveTo investigate the effectiveness of combined trabeculectomy and goniosynechialysis for the acute angle-closure glaucoma.Methods56 eyes of 52 patients suffered from acute angle-closure glaucoma were undergone operation with trabeculectomy and goniosynechialysis after one-weeked therapy with Pilocarpine Nitrate Eye Drops to decrease intraocular pressure（IOP）to normal range.The changes of anterior chamber angle,depth of anterior chamber,visual acuity,intraocular pressure,complications were followed up in 3-monthed post-operation.ResultsCompared with those before operation,postoperative visual acuity was improved in 38 eyes,unchanged in 14 eyes,decreased in 4 eyes,Compared with the IOP［(54.65±9.88)mmHg］ before the operation,the postoperative IOP were significantly decreased (t=27.12,P＜0.001) and the average IOP was (14.76±3.42)mmHg after surgery for 3 months.No severe complications were observed during the operation and post-operation.Anterior chamber was not deepened significantly after surgery for 3 months,compared with that before the operation(t=0.538,P＞0.5).Before operation,the anterior chamber angles were all closed in 48 eyes,and were closed at three-fourths in 8 eyes.After operation the anterior chamber angle were all open in 56 eyes in 3 months after surgery,the anterior chamber angle were closed above one half in 17 eyes，were closed less than or equal to one half in 17 eyes，and were open in 4 eyes.ConclusionThe operation combined trabeculectomy and goniosynechialysis is safe and effective therapy to cure the acute angle-closure glaucoma. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|