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目的 :了解青光眼滤过术后滤过泡在眼球按摩前后超声生物显微镜的影像改变及与眼压的关系。方法 :按照UBM影像学分类把 5 9例 6 6只眼术后患者分为L型、H型、E型、F型滤过泡 ,作眼球按摩前后超声生物显微镜及眼压对比观察。结果 :L型滤过泡的滤过泡高度在眼球按摩前后的差值有非常显著性意义 (P <0 0 0 0 1)。按摩后各组的眼压均有明显下降 (P <0 0 5 )。L型滤过泡随访眼压为 1 94± 0 12kPa ,与其它三组相比差异有显著性 (P =0 0 0 37)。结论 :L型滤过泡的眼球按摩效果较好
OBJECTIVE: To understand the changes of the image of the ultrasound bleb before and after the ocular massage in glaucoma after filtration and the relationship with the intraocular pressure. Methods: According to the UBM classification, 59 patients (66 eyes) were divided into L type, H type, E type and F type bleb for comparison of intraocular pressure and ultrasound before and after ocular massage. Results: There was a significant difference in the height of filtering bleb between L type bleb before and after eye massage (P <0 0 001). The intraocular pressure of each group decreased significantly after massage (P <0.05). The follow-up intraocular pressure of L-type bleb was 1 94 ± 0 12 kPa, which was significantly different from the other three groups (P = 0.0037). Conclusion: L-shaped bleb has better eyeball massage effect