无巩膜缝线小梁切除术治疗青光眼的临床研究

摘要

Objective To investigate the effects and safety of no scleral suture trabeculectomy for glaucoma. Methods 60 cases (76 eyes) of glaucoma in our hospital were randomly divided into research group 30 cases (39 eyes) and control group 30 cases (37 eyes).Research group were treated with no scleral suture trabeculectomy. Control group were treated with traditional trabeculecto-my. Intraocular pressure (IOP), filtering bleb and complications were compared. Results After 6 months follow-up, the control rate of intraocular pressure (<21mmHg) of the research group was 92.3%,which was higher than 75.7%of the control group (P<0.05). The formation rates of functional filtering bleb of the research group was higher than that of the control group (P<0.05).Complica-tions rate like anterior chamber reaction (bleeding or leakage), shallow anterior chamber and low intraocular pressure of research group were lower than those of the control group (P<0.05).Conclusion No scleral suture trabeculectomy for glaucoma is effective and safety.%目的：探讨无巩膜缝线小梁切除术治疗青光眼的临床疗效和并发症。方法随机选取该院收治的60例(76眼)青光眼患者作为研究对象,采用随机数字表法将所选患者分为研究组30例(39眼)和对照组30例(37眼),研究组采用无巩膜缝线小梁切除术,对照组采用常规小梁切除术治疗,随访6个月,综合比较两组患者术后眼压、滤过泡及并发症情况。结果术后6个月随诊眼压<21 mmHg,研究组眼压控制率为92.3%,高于对照组的75.7%,差异有统计学意义(P<0.05)；研究组功能性滤过泡形成率高于对照组,差异有统计学意义(P<0.05)；研究组患者出现前房反应(出血或渗出)、浅前房、低眼压等发生率明显低于对照组,差异有统计学意义(P<0.05)。结论无巩膜缝线小梁切除术治疗青光眼效果确切,安全性高。