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术后眼内压尖峰对阴茎切割后结果的影响:手术技术的比较研究

Wesam Shamseldin Shalaby¹, Steven Lee Chang², Julia Yu²

¹Glaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, United States; Tanta Medical School, Tanta University, Tanta, Gharbia, Egypt.

Journal of current glaucoma practice

|January 12, 2026

概括

卡胡克双刀,OMNI和BANG皮切割手术在青光眼患者中显示出类似的1年安全性和有效性. 眼内压力尖峰增加了失败的风险,特别是在严重的玻璃眼病例.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
手术技巧手术技巧

背景情况:

阴茎切除术是一种治疗青光眼的外科手术.
为了优化患者的治疗结果,比较不同的阴茎切割技术是必不可少的.
手术后眼内压力 (IOP) 峰值在绿眼镜手术后是一个问题.

研究的目的:

为了比较术后眼内压力 (IOP) 峰值和1年的手术成功率在四种阴茎切割手术中:卡胡克双刃 (KDB),OMNI,曲内针阴茎切割手术 (BANG) 和阴茎镜辅助透光线状阴茎切割手术 (GATT).

主要方法:

一个单一中心,对1月2021年至12月2022年间经历了阴茎切除术的玻璃眼病患者 (≥18岁) 的回顾性图表审查.
主要结局包括内血压尖峰 (在3个月内增加≥10 mm Hg) 和12个月的手术成功 (≥20%的内血压降低和/或≥1次药物降低没有进一步的手术).
由于不同的基线特征,GATT眼睛被单独分析.

主要成果:

在KDB,OMNI和BANG手术之间没有观察到IOP尖峰或12个月的外科成功的显著差异,当与化相结合时,KDB,OMNI和BANG手术之间没有观察到显著差异.
在严重的玻璃眼中,IOP峰值更频繁,并且与手术失败,术后干预和重新手术的风险增加相关.
作为独立手术进行的视镜辅助穿透光线带切除术 (GATT) 显示出有利的结果,显著减少了IOP和药物治疗.

结论:

卡胡克双刀,OMNI和BANG皮切除术技术在与发泡化一起进行时,显示出可比的安全性和疗效,用于治疗青光瘤.
监测和管理手术后的IOP峰值至关重要,特别是在患有严重青光眼的患者中.
独立的GATT对于不需要白内障手术的患者来说是一个可行的和有效的选择.

关键词:

曲的内侧针针切除术 (Goniotomy).眼光障碍症是什么眼光障碍症是什么通过阴视镜辅助的透光轨道瘤切除术.这是一次阴茎切除术 (goniotomy).卡胡克双刀片卡胡克双刀片针针切除术是指针针切除术.欧姆尼奥姆尼 (Omni Omni) 是指所有的人.

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