可调节缝线缝合巩膜瓣在小梁切除术患者中的应用效果
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摘要
目的探讨施行小梁切除术中应用可调节缝线缝合巩膜瓣对患者术后眼压的影响。方法选取2018年2～9月在爱尔眼科滨海医院接受治疗的110例慢性闭角型青光眼患者,采用随机数字表法分为观察组和对照组,各55例。对照组采用非可调节缝线,观察组采用可调节缝线,比较两组的浅前房发生率、手术成功率、术后7 d眼压指标、术后2个月眼压指标。结果治疗结束后,观察组的浅前房发生率为5.45%,显著低于对照组的23.64%,差异有统计学意义(P<0.05)。观察组的手术成功率为96.36%,显著高于对照组的70.91%,差异有统计学意义(P<0.05)。观察组术后7 d的眼压低于对照组,差异有统计学意义(P<0.05)。观察组术后2个月的眼压低于对照组,差异有统计学意义(P<0.05)。结论可调节缝线方法可有效改善慢性闭角型青光眼患者预后,值得推广应用。
Objective To investigate the influence of adjustable suture suturing scleral flap on postoperative intraocular pressure in patients undergoing trabeculectomy. Methods A total of 110 patients with chronic angle-closure glaucoma who were treated at Binhai Hospital of Yingkou Aier Eye Hospital from February to September in 2018 were enrolled. They were divided into the control group and the observation group according to a random number table method, 55 cases in each group. The control group was given non-adjustable suture, and the observation group was given adjustable suture.The incidence of shallow anterior chamber, the surgical success rate, the intraocular pressure index in seven days after surgery, and the intraocular pressure index after two months in the two groups were compared. Results After treatment,the incidence of shallow anterior chamber in the observation group was 5.45%, which was much lower than that in the control group accounting for 23.64%, with statistical difference(P<0.05). The surgical success rate of the observation group was 96.36%, which was significantly higher than that of the control group accounting for 70.91%, with significant difference(P<0.05). The intraocular pressure of the observation group was lower than that of the control group at 7 days after operation, with statistical difference(P<0.05). The intraocular pressure at 2 months after surgery in the observation group was lower than that of the control group, with statistical significance(P<0.05). Conclusion The adjustable suture can effectively improve the prognosis of patients with chronic angle-closure glaucoma, and it is worthy of promotion and application.
Objective To investigate the influence of adjustable suture suturing scleral flap on postoperative intraocular pressure in patients undergoing trabeculectomy. Methods A total of 110 patients with chronic angle-closure glaucoma who were treated at Binhai Hospital of Yingkou Aier Eye Hospital from February to September in 2018 were enrolled. They were divided into the control group and the observation group according to a random number table method, 55 cases in each group. The control group was given non-adjustable suture, and the observation group was given adjustable suture.The incidence of shallow anterior chamber, the surgical success rate, the intraocular pressure index in seven days after surgery, and the intraocular pressure index after two months in the two groups were compared. Results After treatment,the incidence of shallow anterior chamber in the observation group was 5.45%, which was much lower than that in the control group accounting for 23.64%, with statistical difference(P<0.05). The surgical success rate of the observation group was 96.36%, which was significantly higher than that of the control group accounting for 70.91%, with significant difference(P<0.05). The intraocular pressure of the observation group was lower than that of the control group at 7 days after operation, with statistical difference(P<0.05). The intraocular pressure at 2 months after surgery in the observation group was lower than that of the control group, with statistical significance(P<0.05). Conclusion The adjustable suture can effectively improve the prognosis of patients with chronic angle-closure glaucoma, and it is worthy of promotion and application.
引文
[1]马英慧,马琳丽.复合小梁切除术后早期两种断线方法控制眼压临床疗效比较[J].河北医学,2017,23(11):1868-1871.
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[8]张影影,张立贵,綦跃勤.内路巩膜瓣复通术治疗青光眼联合白内障术后失败患者的疗效[J].国际眼科杂志,2016,16(11):2145-2147.
[9]杨红艳.丝裂霉素C联合可拆除缝线在小梁切除术中的临床应用[J].安徽医药,2016,20(8):1568-1570.
[10]胡佩宏,刘新华,裴重刚,等.改良的扇形巩膜瓣半隧道切口行复合小梁切除术治疗原发性闭角型青光眼的临床疗效[J].眼科新进展,2016,36(8):738-741.
[11]刘辉,肖静,刘蕊.小梁切除术中应用可调节缝线对术后眼压影响观察[J].中国实用眼科杂志,2016,34(9):962-964.
[12]刘翀,肖启国,费志刚,等.探讨复合式小梁切除术在治疗原发性青光眼中的临床应用效果[J].中南医学科学杂志,2016,44(3):309-311,315.
[13]贺玮,于建国,齐世欣.巩膜瓣缝线跨度对小梁切除术后眼压及功能性滤过泡形成的影响[J].山东医药,2016,56(18):72-73.
[14]高郁玮,张舒心,孙丽,等.玻璃体切割术后(水眼)继发青光眼的手术治疗策略[J].眼科新进展,2016,36(3):254-256.
[15]梁冬梅.可调节缝线在原发性闭角型青光眼小梁切除术中的应用[J].广东医学,2016,37(S1):154-155.
[2]代志强,王保君,杨华,等.巩膜瓣可调整缝线的小梁切除术对角膜散光的影响[J].眼科新进展,2017,37(9):882-885.
[3]李依焕,杨阳,薛国民.巩膜瓣下双池效应式小梁切除术联合可调整缝线治疗原发性闭角型青光眼的临床疗效和安全性[J].临床和实验医学杂志,2017,16(18):1860-1863.
[4]项玉荣.缝线植入Schlemm管开口部成形联合小梁切除术治疗POAG的远期效果[J].检验医学与临床,2017,14(17):2640-2642.
[5]孙月明,刘武装.无囊袋张力环下悬韧带断离IOL缝线固定术的临床体会[J].国际眼科杂志,2017,17(9):1768-1769.
[6]王百祥,韩敏杰.巩膜瓣顶角可调节缝线在闭角型青光眼手术中的应用[J].国际眼科杂志,2017,17(4):767-769.
[7]张方顺,田岩,王璐,等.青光眼滤过术中改良式可调节缝线缝合方法效果观察[J].国际眼科杂志,2016,16(12):2308-2310.
[8]张影影,张立贵,綦跃勤.内路巩膜瓣复通术治疗青光眼联合白内障术后失败患者的疗效[J].国际眼科杂志,2016,16(11):2145-2147.
[9]杨红艳.丝裂霉素C联合可拆除缝线在小梁切除术中的临床应用[J].安徽医药,2016,20(8):1568-1570.
[10]胡佩宏,刘新华,裴重刚,等.改良的扇形巩膜瓣半隧道切口行复合小梁切除术治疗原发性闭角型青光眼的临床疗效[J].眼科新进展,2016,36(8):738-741.
[11]刘辉,肖静,刘蕊.小梁切除术中应用可调节缝线对术后眼压影响观察[J].中国实用眼科杂志,2016,34(9):962-964.
[12]刘翀,肖启国,费志刚,等.探讨复合式小梁切除术在治疗原发性青光眼中的临床应用效果[J].中南医学科学杂志,2016,44(3):309-311,315.
[13]贺玮,于建国,齐世欣.巩膜瓣缝线跨度对小梁切除术后眼压及功能性滤过泡形成的影响[J].山东医药,2016,56(18):72-73.
[14]高郁玮,张舒心,孙丽,等.玻璃体切割术后(水眼)继发青光眼的手术治疗策略[J].眼科新进展,2016,36(3):254-256.
[15]梁冬梅.可调节缝线在原发性闭角型青光眼小梁切除术中的应用[J].广东医学,2016,37(S1):154-155.