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评价小梁切除联合术中使用红比霉素对难治青光眼的长期疗效。方法 :对难治性青光眼 5 8例行小梁切除术中 ,巩膜瓣下放置浸有 2 0 0 μg/ml的红比霉素棉片 5分钟。结果 :术后追综 1 8月 ,平均眼压 2 .78± 0 .49k Pa,与术前平均眼压 5 .2 0± 0 .95 k Pa相比 ,差别有统计学意义 ( P<0 .0 5 ) ,不用抗青光眼药物眼压≤ 2 .98k Pa占 75 %。功能滤过泡形成率 70 .6 % ,滤口开放率 72 .4%。无长期严重并发症。结论 :红比霉素作滤过性手术辅助药物 ,对难治性青光眼可增加长期的手术成功率 ,无长期严重并发症
To evaluate the long-term effect of using doxorubicin on refractory glaucoma during trabeculectomy. Methods: Fifty-eight patients undergoing trabeculectomy for refractory glaucoma were treated with 200 μg / ml of doxorubicin for 5 minutes under the scleral flap. Results: The average intraocular pressure was 2.78 ± 0.49kPa after PCI in August, which was significantly different from the preoperative mean IOP of 5.2 ± 0.95kPa (P <0 .0 5), without glaucoma medication IOP ≤ 2 .98k Pa 75%. Filtration baffle formation rate of 70.6%, filter opening rate of 72.4%. No long-term serious complications. CONCLUSIONS: The use of bifidostam for surgically assisted surgery increases the long-term success rate of refractory glaucoma without serious long-term complications