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目的探讨应用前房注气术治疗原发性闭角型青光眼小梁切除术后浅前房的效果。方法原发性闭角型青光眼小梁切除术后Ⅱa级及Ⅱb级浅前房101例(118眼)分为2组:保守治疗组50例(60眼),前房注气组51例(58眼),进行回顾性研究,比较两组治疗后视力、眼压、远期滤过泡形态、治疗持续时间、治疗有效率及一次治疗成功率。结果原发性闭角型青光眼小梁切除术后浅前房经保守治疗和前房注气治疗两组治疗后视力、眼压、治疗有效率、远期滤过泡形态比较差异无统计学意义(P>0.05),一次治疗成功率和治疗持续时间差异有统计学意义(P<0.05)。前房注气术一次治疗成功率93.1%,治疗时间短。结论前房注气术是治疗原发性闭角型青光眼小梁切除术后浅前房的简单有效的方法。
Objective To investigate the effect of anterior chamber gas injection in the treatment of shallow anterior chamber after trabeculectomy of primary angle-closure glaucoma. Methods A total of 101 patients (118 eyes) with type Ⅱa and Ⅱb shallow anterior chamber after primary trabeculectomy were divided into two groups: conservative treatment group (n = 50) (60 eyes), anterior chamber insufflation group (n = 51) 58 eyes). The retrospective study was conducted to compare visual acuity, intraocular pressure, long-term filtered bleb morphology, duration of treatment, treatment efficiency and success rate of primary treatment. Results Primary angle-closure glaucoma trabecular surgery shallow anterior chamber conservative treatment and anterior chamber insufflation after treatment, visual acuity, intraocular pressure, the treatment efficiency, long-term filtered bleb morphology was no significant difference (P> 0.05). There was a significant difference between the success rate of one treatment and the duration of treatment (P <0.05). Anterior chamber injection of a treatment success rate of 93.1%, the treatment time is short. Conclusion Anterior chamber insufflation is a simple and effective method for the treatment of shallow anterior chamber after trabeculectomy of primary angle-closure glaucoma.