小梁切除联合巩膜层间反折小梁组织垫入术治疗青光眼临床分析

doi:10.6040/j.issn.1673-3770.0.2014.168

山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (5): 74-75.doi: 10.6040/j.issn.1673-3770.0.2014.168

小梁切除联合巩膜层间反折小梁组织垫入术治疗青光眼临床分析

韩萍¹, 许加凤², 胡凯³

1. 南京市浦口医院眼科, 江苏南京 210031;
2. 上海外国语大学, 上海 201620;
3. 东南大学附属中大医院眼科, 江苏南京 210009

收稿日期:2014-05-17 发布日期:2014-10-16
作者简介:韩萍。E-mail:nanjinghanping@sina.com

Trabeculectomy with scleral reflexed trabecular tissue padding in treatment of glaucoma

HAN Ping¹, XU Jia-feng², HU Kai³

1. Department of Ophthalmology, Nanjing Pukou Hospital, Nanjing 210031, Jiangsu, China;
2. Shanghai International Studies University, Shanghai 201620, China;
3. Department of Ophthalmology, Zhongda Hospital Affiliated to South East University, Nanjing 210009, Jiangsu, China

Received:2014-05-17 Published:2014-10-16

摘要/Abstract

摘要： 目的探索小梁切除联合巩膜层间反折小梁组织垫入在预防和减少滤过道阻塞中的作用。方法收集青光眼患者36例(36眼),即在常规小梁切除术的基础上将小梁巩膜条一端切断,一端部分保留并反折合于深层巩膜上，术后随访6～24个月。结果术后眼压控制在21 mmHg以下者33例33眼，平均为(15.86±3.01)mmHg，明显低于术前平均水平(29.62±5.49)mmHg(t=7.398, P<0.001)。手术成功率为94.45%。结论小梁切除联合巩膜层间反折小梁组织垫入术能有效控制眼压,减少滤过道瘢痕阻塞，手术简便易行,安全有效。

关键词: 青光眼, 小梁切除术, 反折小梁组织, 眼压

Abstract: Objective To reduce the post-operative blocking of filtration canal in trabeculectomy with scleral reflexed trabecular tissue padding into the operation. Methods 36 patients with glaucoma (36 eyes) were enrolled in this study. The modification of the procedure of routine trabeculectomy was that one end of the layer sclera tissue including part of trabecular meshwork want cut. Instead, the free end of the strip of deep sclera tissue was vertically rotated and sutured on the deep layer of the scleral bed posterior to it. The projection of the strip was utilized to prevent post-operative blocking of filtration canal. Results The post-operative intraocular pressure was below 21 mmHg in 33 eyes of 33 cases, the average as (15.86±3.01)mmHg, significantly lower than the average level before operation (29.62±5.49)mmHg(t=7.398, P<0.001). The success rate of operation was 94.45%. Conclusion Trabeculectomy with scleral reflexed trabecular tissue padding into the operation can effectively control the intraocular pressure and reduce the filtering bleb scar obstruction.

Key words: Glaucoma, Trabeculectomy reflexed trabecular, Intraocular pressure

中图分类号:

R775

韩萍, 许加凤, 胡凯. 小梁切除联合巩膜层间反折小梁组织垫入术治疗青光眼临床分析[J]. 山东大学耳鼻喉眼学报, 2014, 28(5): 74-75.

HAN Ping, XU Jia-feng, HU Kai. Trabeculectomy with scleral reflexed trabecular tissue padding in treatment of glaucoma[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 74-75.

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小梁切除联合巩膜层间反折小梁组织垫入术治疗青光眼临床分析

Trabeculectomy with scleral reflexed trabecular tissue padding in treatment of glaucoma

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