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目的探讨前房穿刺、可拆除缝线联合透明质酸钠对减少小梁切除术后并发症发生的作用。方法对51例(66眼)原发性闭角型青光眼患者行小梁切除术。观察组27例(35眼)术中应用透明质酸钠、前房穿刺和可拆除缝线技术,对照组24例(31眼)行常规小梁切除术。对术后主要并发症进行比较分析。结果浅前房:观察组5眼(14.28%),对照组14眼(45.16%),两组比较有显著性差异;有效滤过泡形成:观察组30眼(85.71%),对照组22眼(70.96%),两组比较有显著性差异;虹膜睫状体炎、前房积血、脉络膜脱离等并发症的发生,观察组分别为8眼(22.86%)、2眼(5.71%)、0眼,对照组分别为13眼(41.94%)、8眼(25.81%)、4眼(12.9%),两组比较均有显著性差异。结论在小梁切除术中应用透明质酸钠、前房穿刺和可拆除缝线技术可减少术后浅前房等并发症的发生,提高手术成功率。
Objective To investigate the effect of anterior chamber puncture and suture removal combined with sodium hyaluronate on the reduction of complications after trabeculectomy. Methods Fifty-one patients (66 eyes) with primary angle-closure glaucoma underwent trabeculectomy. 27 cases (35 eyes) in observation group were treated with sodium hyaluronate, anterior chamber puncture and detachable suture technique in 24 cases, while the control group was performed conventional trabeculectomy in 24 cases (31 eyes). The main postoperative complications were compared. Results In the anterior chamber, there were 5 eyes (14.28%) in the observation group and 14 eyes (45.16%) in the control group. There were significant differences between the two groups. The effective filtration bleb was formed in 30 eyes (85.71%) in the observation group and 22 eyes (70.96%). The incidence of iridocyclitis, hyphema and choroidal detachment in the observation group were 8 eyes (22.86%), 2 eyes (5.71%), 0 eyes, the control group were 13 eyes (41.94%), 8 eyes (25.81%), 4 eyes (12.9%), the two groups were significantly different. Conclusion The application of sodium hyaluronate, anterior chamber puncture and detachable suture in trabeculectomy can reduce the incidence of postoperative shallow anterior chamber and other complications, and improve the success rate of surgery.