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[摘要]
目的:探讨青光眼引流器植入术治疗开角型青光眼的效果。
方法:回顾性分析2014-03/2015-06在我院接受治疗的开角型青光眼患者的临床资料,根据其治疗方式分为引流器植入组和小梁切除术组。观察两组患者手术一般情况,比较两组患者治疗前后视力、眼压情况,观察两组患者并发症发生率的差异。
结果:引流器植入组患者手术时间为35.12±3.56min,较小梁切除组短,差异具有统计学意义(P<0.05); 两组患者手术前眼压和视力无明显差别,手术后,两组患者的眼压均较手术前降低,且引流器植入组降低更明显, 差异具有统计学意义(P<0.05); 两组患者术后视力较手术前无明显差别; 两组患者术后角膜擦伤和晶状体损伤等并发症发生率均较低,且两组间比较差异无统计学意义(P>0.05)。
结论:青光眼引流器植入术对开角型青光眼有较好的治疗效果,且手术时间短,术后并发症发生率低。
[Key word]
[Abstract]
AIM:To investigate the effect of glaucoma drainage implantation in the treatment of open angle glaucoma.
METHODS: Patients with open angle glaucoma treated in our hospital selected as objects from Mar. 2014 to Jun. 2015. They were divided into two groups according to the treatment: the drainage group and the trabeculectomy group. The general operation condition of two groups were observed. Visual acuity, intraocular pressure and complication rate of the two groups before and after treatment were compared.
RESULTS: The operation time of trabeculectomy group was 35.12±3.56min. It was shorter than drainage group(P<0.05). The intraocular pressure and visual acuity of the two groups had no significant difference before surgery. After surgery, the intraocular pressure and drainage of the two groups were reduced. And the implantation group reduced significantly(P<0.05). The level of visual acuity of the two groups before and after surgery had no significant difference. The postoperative corneal abrasions, lens damage and other complications was no significant difference(P>0.05).
CONCLUSION: Glaucoma drainage device implantation for open angle glaucoma have a better therapeutic effect. The operation time is short, the complication rate is low and the clinical value is better.
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