醫(yī)學(xué)免費(fèi)論文:可調(diào)整縫線在青光眼白內(nèi)障聯(lián)合手術(shù)中的應(yīng)用
【摘要】 目的:探討可調(diào)整縫線在青光眼白內(nèi)障聯(lián)合手術(shù)中的應(yīng)用。方法:將68例75眼青光眼合并白內(nèi)障患者隨機(jī)分成對照組和觀察組,對照組行超聲乳化法+小梁切除術(shù),觀察組行超聲乳化法+小梁切除+可調(diào)整縫線術(shù)治療,術(shù)后隨訪3~12mo。結(jié)果:兩組患者術(shù)后眼壓比較無統(tǒng)計(jì)學(xué)意義,術(shù)后3mo隨訪,視力≥0.5觀察組和對照組無統(tǒng)計(jì)學(xué)意義。而在隨訪6~12mo中觀察組視力≥0.5明顯多于對照組,具有統(tǒng)計(jì)學(xué)意義。術(shù)后3d對照組前房出現(xiàn)滲出物多于觀察組,兩者比較具有統(tǒng)計(jì)學(xué)意義。結(jié)論:青光眼白內(nèi)障聯(lián)合手術(shù)中應(yīng)用可調(diào)整縫線能夠減少前房滲出,降低眼壓,在聯(lián)合手術(shù)中起著重要的作用。
【關(guān)鍵詞】 超聲乳化白內(nèi)障吸除術(shù) 小梁切除術(shù) 青光眼 白內(nèi)障 可調(diào)整縫線
Application of releasable suture in combined phacoemulsification and trabeculectomy
ShuYang Chen,GuoPing Kuang,LiLian Xie,JunDong Zhu,XianLian Tan,ZhengQing Wu
Department of Ophthalmology, Chenzhou the First Peoples Hospital,Chenzhou 423000,Hunan Province,China
AbstractAIM: To investigate the application of releasable suture in combined phacoemulsification and trabeculectomy.METHODS: Sixtyeight patients (75 eyes) with glaucoma and cataract were randomly divided into observation group (40 eyes) and control group(35 eyes). Observation group accepted phacoemulsification intraocular lens implantation,trabeculectomy and releasable suture;control group accepted phacoemulsification,intraocular lens implantaion and trabeculectomy. All patients were followed up for 312 months postoperatively.RESULTS: There was no statistical significance of the postoperative intraocular pressure (IOP) between two groups.There was no marked difference of the postoperative early visual acuity between two groups.However,After 612 months followup,the visual acuity of observation group and control group occured statistical difference. And the effusion in anterior chamber of two groups occured statistical difference too.CONCLUSION: Effusion in anterior chamber decreased, and IOP can be stepped down by application of releasable suture in combined phacoemulsification and trabeculectomy.
KEYWORDS: phacoemulsification;trabeculectomy;glaucoma;cataract;releasable suture醫(yī).學(xué).全.在.線bhskgw.cn
0 引言
青光眼、白內(nèi)障均是我國目前主要致盲眼病之一,且多見于老年人,隨著我國人民健康水平的提高,人均壽命的延長,人口老齡化的發(fā)展,青光眼、白內(nèi)障患病率必將因之增高。為減輕患者的痛苦,提高患者的視力,許多醫(yī)師在尋求最合適的手術(shù)時(shí)機(jī)和方法以達(dá)到最理想的結(jié)果,F(xiàn)將本院200601/ 200712青光眼白內(nèi)障聯(lián)合手術(shù)的住院病例 68例75眼的手術(shù)效果分析如下。