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您现在的位置: 医学全在线 > 医学论文 > 论文投稿 > 正文:医学免费论文:可调整缝线在青光眼白内障联合手术中的应用
    

医学免费论文:可调整缝线在青光眼白内障联合手术中的应用

来源:本站原创 更新:2013-9-27 论文投稿平台

医学免费论文:可调整缝线在青光眼白内障联合手术中的应用

【摘要】 目的:探讨可调整缝线在青光眼白内障联合手术中的应用。方法:将68例75眼青光眼合并白内障患者随机分成对照组和观察组,对照组行超声乳化法+小梁切除术,观察组行超声乳化法+小梁切除+可调整缝线术治疗,术后随访3~12mo。结果:两组患者术后眼压比较无统计学意义,术后3mo随访,视力≥0.5观察组和对照组无统计学意义。而在随访6~12mo中观察组视力≥0.5明显多于对照组,具有统计学意义。术后3d对照组前房出现渗出物多于观察组,两者比较具有统计学意义。结论:青光眼白内障联合手术中应用可调整缝线能够减少前房渗出,降低眼压,在联合手术中起着重要的作用。

【关键词】 超声乳化白内障吸除术 小梁切除术 青光眼 白内障 可调整缝线

Application of releasable suture in combined phacoemulsification and trabeculectomy

ShuYang Chen,GuoPing Kuang,LiLian Xie,JunDong Zhu,XianLian Tan,ZhengQing Wu

Department of Ophthalmology, Chenzhou the First Peoples Hospital,Chenzhou 423000,Hunan Province,China

AbstractAIM: To investigate the application of releasable suture in combined phacoemulsification and trabeculectomy.METHODS: Sixtyeight patients (75 eyes) with glaucoma and cataract were randomly divided into observation group (40 eyes) and control group(35 eyes). Observation group accepted phacoemulsification intraocular lens implantation,trabeculectomy and releasable suture;control group accepted phacoemulsification,intraocular lens implantaion and trabeculectomy. All patients were followed up for 312 months postoperatively.RESULTS: There was no statistical significance of the postoperative intraocular pressure (IOP) between two groups.There was no marked difference of the postoperative early visual acuity between two groups.However,After 612 months followup,the visual acuity of observation group and control group occured statistical difference. And the effusion in anterior chamber of two groups occured statistical difference too.CONCLUSION: Effusion in anterior chamber decreased, and IOP can be stepped down by application of releasable suture in combined phacoemulsification and trabeculectomy.

KEYWORDS: phacoemulsification;trabeculectomy;glaucoma;cataract;releasable suture医.学.全.在.线www.lindalemus.com

0 引言

青光眼、白内障均是我国目前主要致眼病之一,且多见于老年人,随着我国人民健康水平的提高,人均寿命的延长,人口老龄化的发展,青光眼、白内障患病率必将因之增高。为减轻患者的痛苦,提高患者的视力,许多医师在寻求最合适的手术时机和方法以达到最理想的结果。现将本院200601/ 200712青光眼白内障联合手术的住院病例 68例75眼的手术效果分析如下。


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