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对于中国PACG患者来说,管切除术的五年结果:一项回顾性研究

Zhan Xie¹, Tianhao Xiao¹, Junlong Huang¹

¹Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, P.R. China.

BMC ophthalmology

|April 23, 2025

概括

眼切除术为患有初级闭角玻璃眼 (PACG) 的中国患者提供了有效的5年眼内压 (IOP) 控制,显著减少了药物需求,并显示出高的成功率.

科学领域:

眼科医生眼科眼科
手术创新在外科创新.
玻璃眼研究研究玻璃眼研究

背景情况:

主要闭角光眼 (PACG) 在控制眼内压力 (IOP) 方面构成了重大挑战.
评估长期的外科治疗结果对于优化青光眼治疗策略至关重要.

研究的目的:

评估在中华患者中进行曲骨切除术的5年疗效和安全性,这些患者在医学上不受控制的PACG.
为了比较trabeculo-canalectomy与trabeculectomy在IOP控制和药物减少方面的结果.

主要方法:

一项回顾性研究包括46名PACG患者 (50只眼睛) 接受了轨道管切除术.
随访延长至5年,监测眼内压 (IOP),药物治疗方案和并发症.
手术成功的定义是IOP ≤21 mmHg,有或没有药物治疗 (合格和绝对成功).

主要成果:

手术前的平均内血压为30.72mmHg,手术后显著下降,在5年 (17.04mmHg) 后仍然受到控制.
大多数患者的药物治疗方案数量在5年内减少到零.
五年总和绝对成功率分别为89%和78%,常见的早期并发症包括浅前腔和高血.

结论:

管切除术是一种简单,经济高效的手术,用于医学上不受控制的PACG.
它提供了有利的5年IOP控制,并减少了药物依赖.
这种手术显示出与带切除术相比,手术后干预的可能性更少.

关键词:

五年后的结果主要关闭角度的玻璃眼 (Glaucoma)施莱姆的运河施莱姆的运河形切除术 (Trabeculo-canalectomy) 是一个切除术.

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