基层眼科小梁切除术405例并发症分析
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Analysis the complications after trabeculectomy in 405 cases in department of ophthalmology
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    摘要:

    目的:分析并总结青光眼行小梁切除术在基层医院眼科开展的效果。

    方法:对青光眼患者316例405眼行小梁切除术,对术后的眼压、滤过泡及并发症进行回顾性分析。

    结果:术后随访12mo,其中76.5%眼压控制正常; 滤过泡Ⅰ型42.5%,Ⅱ型33.1%,Ⅲ型14.6%,Ⅳ型9.9%; 术中并发症发生率2.5%,术后早期(出院前)并发症发生率31.4%,术后远期(出院6mo后)并发症发生率6.7%。

    结论:小梁切除术能较好解决青光眼高眼压问题,在基层医院开展较成熟,但术中术后仍有多种并发症发生。

    Abstract:

    AIM: To analyze and summarize the effect of glaucoma trabeculectomy in the department of ophthalmology in basic hospital.

    METHODS: Postoperative intraocular pressure(IOP), filtering bleb and complications of 316 cases(405 eyes)of patients with glaucoma after trabeculectomy were analyzed.

    RESULTS: After follow-up 12mo, 76.5% IOP was controlled in normal level. 42.5% was filtration bleb typeⅠ, 33.1% type Ⅱ, 14.6% in type Ⅲ and 9.9% in type Ⅳ. Intraoperative complication rate was 2.5%, that was 31.4% at postoperative early stage(before discharge), and 6.7% at postoperative long-term(6mo after discharge).

    CONCLUSION: Trabeculectomy for glaucoma can better solve the problem of high IOP. It is more mature in primary hospitals, but there are still a variety of intraoperative and postoperative complications.

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晏兴云,贺平,刘静.基层眼科小梁切除术405例并发症分析.国际眼科杂志, 2015,15(4):707-708.

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  • 收稿日期:2015-01-10
  • 最后修改日期:2015-03-25
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  • 在线发布日期: 2015-04-08
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