应用复合式小梁切除术治疗青光眼的效果观察及并发症情况分析(1)
【摘要】 目的 觀察复合式小梁切除术治疗青光眼的效果及并发症发生情况。方法 86例青光眼患者， 按照随机原则分为甲组及乙组， 每组43例。甲组给予传统小梁切除术治疗， 乙组给予复合式小梁切除术治疗， 观察并比较两组疗效、并发症(黄斑水肿、眼压过低、脉络膜脱离)发生情况及治疗前后眼压检测情况。结果 乙组显效34例(79.07%)， 有效7例(16.28%)， 无效2例(4.65%)， 总有效率为95.35%;甲组显效20例(46.51%)， 有效13例(30.23%)， 无效10例(23.26%)， 总有效率为76.74%。乙组总有效率高于甲组， 差异具有统计学意义(P<0.05)。乙组术后并发症发生率为2.33%， 低于甲组的25.58%， 差异具有统计学意义(P<0.05)。治疗前， 乙组眼压为(28.31±3.25)mm Hg(1 mm Hg=0.133 kPa)， 与甲组的(28.14±3.30)mm Hg比较， 差异无统计学意义(P>0.05)。治疗后， 乙组眼压为(12.97±3.30)mm Hg， 甲组眼压为(16.78±2.58)mm Hg;两组均低于本组治疗前， 且乙组低于甲组， 差异具有统计学意义(P<0.05)。结论 青光眼患者接受复合式小梁切除术治疗， 疗效显著， 值得推广。
【关键词】 青光眼;复合式小梁切除术;并发症;疗效观察
DOI：10.14163/j.cnki.11-5547/r.2019.21.005
【Abstract】 Objective To observe the effect of compound trabeculectomy for the treatment of glaucoma and the occurrence of complications. Methods A total of 86 glaucoma patients were randomly divided into group A and group B， with 43 cases in each group. Group A was treated with traditional trabeculectomy， and group B was treated with compound trabeculectomy. Observation and comparison were made on efficacy， occurrence of complications (macular edema， low intraocular pressure and choroidal detachment) and intraocular pressure measurement before and after treatment between the two groups. Results Group B had 34 excellent cases (79.07%)， 7 effective cases (16.28%) and 2 ineffective cases (4.65%)， with total effective rate as 95.35%. Group A had 20 excellent cases (46.51%)， 13 effective cases (30.23%) and 10 ineffective cases (23.26%)， with total effective rate as 76.74%. Group B had higher total effective rate than group A， and the difference was statistically significant (P<0.05). Group B had lower incidence of postoperative complications as 2.33% than 25.58% in group A， and the difference was statistically significant (P<0.05). Before treatment， group B had no statistically significant difference in intraocular pressure as (28.31±3.25) mm Hg (1 mm Hg=0.133 kPa)， comparing with (28.14±3.30) mm Hg in group A (P>0.05). After treatment， group B had intraocular pressure as (12.97±3.30) mm Hg， which was (16.78±2.58) mm Hg in group A. Both groups had lower intraocular pressure than those before treatment， and group B was lower than group A. Their difference was statistically significant (P<0.05). Conclusion Compound trabeculectomy shows remarkable efficacy in treating glaucoma patients， and it is worthy of promotion.
【Key words】 Glaucoma; Compound trabeculectomy; Complications; Efficacy observation, http://www.100md.com(刘芬兰)
【关键词】 青光眼;复合式小梁切除术;并发症;疗效观察
DOI：10.14163/j.cnki.11-5547/r.2019.21.005
【Abstract】 Objective To observe the effect of compound trabeculectomy for the treatment of glaucoma and the occurrence of complications. Methods A total of 86 glaucoma patients were randomly divided into group A and group B， with 43 cases in each group. Group A was treated with traditional trabeculectomy， and group B was treated with compound trabeculectomy. Observation and comparison were made on efficacy， occurrence of complications (macular edema， low intraocular pressure and choroidal detachment) and intraocular pressure measurement before and after treatment between the two groups. Results Group B had 34 excellent cases (79.07%)， 7 effective cases (16.28%) and 2 ineffective cases (4.65%)， with total effective rate as 95.35%. Group A had 20 excellent cases (46.51%)， 13 effective cases (30.23%) and 10 ineffective cases (23.26%)， with total effective rate as 76.74%. Group B had higher total effective rate than group A， and the difference was statistically significant (P<0.05). Group B had lower incidence of postoperative complications as 2.33% than 25.58% in group A， and the difference was statistically significant (P<0.05). Before treatment， group B had no statistically significant difference in intraocular pressure as (28.31±3.25) mm Hg (1 mm Hg=0.133 kPa)， comparing with (28.14±3.30) mm Hg in group A (P>0.05). After treatment， group B had intraocular pressure as (12.97±3.30) mm Hg， which was (16.78±2.58) mm Hg in group A. Both groups had lower intraocular pressure than those before treatment， and group B was lower than group A. Their difference was statistically significant (P<0.05). Conclusion Compound trabeculectomy shows remarkable efficacy in treating glaucoma patients， and it is worthy of promotion.
【Key words】 Glaucoma; Compound trabeculectomy; Complications; Efficacy observation, http://www.100md.com(刘芬兰)