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1、无缝线巩膜瓣小梁切除术治疗原发性开角型青光眼的效果［摘耍］目的探讨无缝线巩膜瓣小梁切除术治疗原发性开角型青光眼的效果及安全性。方法选择2011年3月〜2013年7月于邵阳市中心医院原发性开角型青光眼患者68例(68眼)，按照随机数字表法分为标准常规小梁切除术(常规组，34例34眼)和无缝线小梁切除术组(无缝线组，34例34眼)，常规组患者采用标准常规小梁切除术进行治疗，无缝线组采用无缝线巩膜瓣小梁切除术进行治疗。随访12个月，对两组患者的治疗效果进行评价。结果两组手术均顺利完成，均随访12个月。两组术后6个月的眼压分别为(13.3±4.6)mmHg和(12.7±3.1)mmHg,术后12
2、个月的眼压分别为(11.7±2.2)mmHg和(12.2±3.5)mmHg,较术前［(28.5±8.2)、(29.6±7.2)mmHg］均显著降低，差异有统计学意义(P0.05),但无缝线组滤过泡更显扁平及美观。两组患者术后应用抗青光眼药物种类数［(0・9土0・4)、(0.8±0.3)种］比较,差异无统计学意义(P>0.05),两组患者均没有严重并发症出现。结论无缝线巩膜瓣小梁切除术与常规小梁切除术治疗青光眼效果相当，且均无严重并发症，但无缝线巩膜瓣小梁切除术操作更简化，值得进一步研究推广。［关键词］无缝线巩膜瓣小梁切除术；原发性开角型青光眼；小梁切除术；眼压［中图分类号］R779.6［
3、文献标识码］A［文章编号］1673-7210(2015)07(c)-0102-04[Abstract]ObjectiveToexplorethecurativeeffectandsafetyoftreatingprimaryopenangleglaucomabysuturelessscleralflaptrabeculectomy.MethodsFromMarch2011toJuly2013,68patients(68eyes)withprimaryopenangleglaucomainShaoyangCentralHospitalwereselected.Theyweredivided
4、intostandardregulartrabeculectomygroup(regulargroup,34cases,34eyes)andsuturelesstrabeculectomygroup(suturelessgroup,34cases,34eyes)•Standardregulartrabeculectomywasadoptedtotreatpatientsintheregulargroupwhilesuturelessscleralflaptrabeculectomywasadoptedtotreatpatientsinthesuturelessgroup.Followed
5、-up12months，thetreatmenteffectsofpatientsintwogroupswereevaluated.ResultsTheoperationsofbothgroupswentsmoothly.Foilow~upvisitsof12monthsweremade.Aftersurgery6months,intraoculartensionoftwogroupswere(13.3±4・6)mniHgand(12.7+3.1)mmHgrespectively,aftersurgery12months,intraoculartensionoftwogroupswere
6、(11.7±2.2)mmHgand(12.2±3.5)mmHg,thesedecreasedsignificantlythanthosebeforethesurgery[(28.5+8.2),(29.6±7.2)mmHg],thedifferenceswerestatisticallysignificant(P0.05),butfilteringblebofsuturelessgroupwereflatandartistic.Thekindsofappljdngglaucomadrugintwogroupsaftersurgrey[(0.9±0.4),(0.8土0.3)kinds]wer
7、ecompared,thediffereneewasnotstatisticallysignificant(P>0.05)・Patientsinbothgroupshadnoseriouscomplications・ConclusionSuturelessscleralflaptrabeculectomyhasthesamecurativeeffectwithregulartrabeculectomy.Bothofthemhaven
