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目的观察改良小粱切除术治疗青光眼的临床效果。方法我院于2008年6月~2009年12月采用改良小梁切除术治疗青光眼患者132例(151眼),术中应用丝裂霉素C及可拆除缝线,术后随访1年,观察手术前后眼压、前房形成、滤过泡形态及并发症的情况。结果手术后有85眼(56.29%)眼压控制于10～15mmhg,61眼(40.39%)眼压控制于16～21mmhg,4眼(2.64%)需配合降眼压滴眼液控制于10～21mmhg,1眼(0.66%)多次手术后植入房水引流阀门后眼压控制。术后第1天前房形成151眼(100%)。出院时滤过泡均为扁平微隆,6个月后滤过泡形态稳定,观察至1年无改变:微小囊状型81眼,弥漫扁平型65眼,瘢痕型3眼,其中1眼最终植入房水引流阀,包裹型2眼。结论改良小梁切除术在减少手术并发症的同时保证了手术的成功率,安全性高,临床疗效较好。
Objective To observe the clinical effect of modified sorghum excision for glaucoma. Methods A total of 132 patients (151 eyes) with glaucoma were treated with modified trabeculectomy in our hospital from June 2008 to December 2009. The patients were treated with mitomycin C and detachable sutures. The patients were followed up for 1 year. Intraocular pressure before and after surgery, anterior chamber formation, filtration bleb morphology and complications. Results Intraocular pressure was controlled at 10-15 mmhg in 85 eyes (56.29%) after surgery, while the intraocular pressure in 61 eyes (40.39%) was controlled at 16-21 mmhg. Four eyes (2.64% 21mmhg, 1 eye (0.66%) after multiple surgical implantation of aqueous drainage valve after IOP control. 151 cases (100%) formed anterior chamber on the first postoperative day. Discharge bleb are flat micro-Long, six months after the bleb shape and observed to 1 year no change: a small cystic type 81, diffuse flat type 65, scar type 3, of which 1 final Implanted atrial drainage valve, parcel-type 2 eyes. Conclusion Modified trabeculectomy can reduce the surgical complications while ensuring the success rate of surgery, high safety, and good clinical efficacy.