复合式小梁切除术治疗青光眼的应用

郭西敏

（陕西省商洛市洛南县医院眼科，陕西 商洛，726100）

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摘要：

目的 分析比较复合式小梁切除术和传统小梁切除术治疗青光眼的效果差异。方法 选取2015 年1 月至2016 年5 月于本 院就诊的青光眼患者100 例，将其随机分为研究组和对照组，各50 例。研究组给予复合式小梁切除术，对照组给予传统小梁 切除术。分析比较两组的疗效。结果 研究组患者的浅前房总发生率低于对照组（P<0.05）。术后6、12 个月，研究组患者眼压 均低于对照组（P<0.05）。研究组患者的手术成功率高于对照组（P<0.05）。研究组患者功能性滤过泡形成率高于对照组（P<0.05）。结论 复合式小梁切除术可减少术后浅前房的发生，有效控制眼压，减少无效滤泡的形成。该术式在很大程度上提高了青光 眼的手术成功率，值得在临床上推广应用。

关键词：复合式小梁切除术；传统小梁切除术；青光眼

中图分类号：R779.6文献标志码：A文章编号：2096-1413(2018)06-0096-02

Application of compound trabeculectomy in the treatment of glaucoma


GUO Xi-min
(Ophthalmology Department, the Hospital of Luonan County, Shangluo 726100, China)

ABSTRACT: Objective To analyze and compare the effects of compound trabeculectomy and traditional trabeculectomy in glaucoma treatment. Methods A total of 100 cases of glaucoma patients treated in our hospital from January 2015 to May 2016 were selected, and randomly divided into study group and control group, with 50 cases in each group. The study group received compound trabeculectomy, the control group received traditional trabeculectomy. The efficacy of the two groups was analyzed and compared. Results The total incidence of shallow anterior chamber in the study group was lower than that in the control group (P<0.05). The intraocular pressure at 6 and 12 months after operation in the study group were lower than those in the control group (P<0.05). The successful rate of operation in the study group was higher than that in the control group (P<0.05). The formation rate of functional filtering bleb in the study group was higher than that in the control group, the difference was statistically significant (P <0.05). Conclusion Compound trabeculectomy can reduce the occurrence of shallow anterior chamber, effectively control intraocular pressure and reduce the formation of ineffective follicles. The operation is efficient and safe, and greatly improves the operation successful rate of glaucoma. It is worthy of clinical application.
KEYWORDS: compound trabeculectomy; traditional trabeculectomy; glaucoma

参考文献：
[1] 张丽萍,王芳.复合式小梁切除术治疗原发性青光眼的临床疗效观察[J].广东医学,2011,32(11):1455-1456.
[2] 黄宝玲,王全志,陈瑞合,等.复合式与单纯小梁切除术治疗青光眼的临床对比观察[J].眼科新进展,2011,31(9):875-877.
[3] 张秋良.复合式小梁切除术治疗青光眼582 例临床分析[J].中国社区医师:医学专业,2011,13(34):138-139.
[4] 陈启.复合式小梁切除术治疗原发性闭角型青光眼疗效分析[J].求医问药:学术版,2013,11(4):118.
[5] 曾惠红,梁堂钰.用改良复合式小梁切除术治疗青光眼的临床疗效观察[J].当代医药论丛,2014,12(7):251-252.
[6] 黄燕然.复合式小梁切除术治疗青光眼的临床疗效[J].当代医学,2013,19(21):82-83.
[7] 胡翠霞,刘伟,张在芬.改良复合式小梁切除术治疗原发性青光眼的临床观察[J].眼科新进展,2013,33(11):1070-1072.
[8] 汤晓东.复合式与传统小梁切除术治疗青光眼疗效的比较[J].医学综述,2014,20(17):3260-3262.
[9] 袁铸,张贻转,高波.复合式小梁切除术治疗青光眼的临床观察[J].国际眼科杂志,2007,7(4):1155-1157.
[10] 张辉,王晓军.复合式小梁切除术治疗难治性青光眼疗效分析[J].眼科新进展,2010,30(2):161-163.