Kết quả 2196 trường hợp nội soi ống tiêu hoá trên tại bệnh viện 199 - Bộ Công an

TCNCYH 65 (6)-2009

Summary ' l' A'.' ' )

USE OF AMNIOTIC MEMBRANE IN TRABECULECTOMY

FOR THE TREATMENT OF RECURRENT GLAUCOMA

The failure of trabeculectomy is mainly related to the continues process of fibroblastic proliferation in

postdperation. Amnidtic membrane can prevent postoperative adhesion of conjunctiva and sclera. The use

of amniotic membrane (AM) in trabeculectomy has been showed it is beneficial effect in the treatment of

glaucoma. Objective: To evaluate the effect and surgical tenichque of trabeculectomy combined AM

transplantation. Method: This clinical prospective study 34 eyes with primary glaucoma after unsuccessful

trabeculectomy have fibroblastic flat bled. Results: The mean preoperative intraocular pressure (lOP) was

31.79 ± 6,395 mmHg which decreased to a mean postoperative lOP of 16.21 ..*: 2.382 mmHg (p < 0.001).

The decreased mean postoperative lOP from 15.05 mmHg (47.3%) to 19.64 mmHg (61.8%). The mean

number of glaucoma medications was reduced from 1.18 preoperatively to 0.45 postoperatively. All eyes

were remainded or increased their visual acuities. The was 27.3% diffusion bleds and 72.7% functional

bleds after 5 months of operation. There was not complication in operation and posoperation. Conclusions:

Trabeculetomy combined AM transplantation is a safe and effective. That should be evaluated as an good

option in uncontrollable glaucoma.

Keywords: Trabeculetomy, amniotic membrane transplantation

KET QUA 2196 TRL/CJNG HOP NOI SOI ONG TIEU HOA TREN

TAI BENH VIEN 199 - BO CONG AN

• • • •

Hoang Phffdng Thuy

Benh Vien 199 - Bi) Cdng An .

Benh ly dtfdng tieu hda tren gom nhieu nhdm, vdi nhdng trieu chdng gin gidng nhau, Bic sy lam sing

can phin biet cic hinh thii tdn thuang de cd phtfang phip dieu tri. Ndi soi li mdt phuang phip tham dd

hinh thii rat quan trgng trang chuyen khoa tieu hoi. Muc tigu: (?) De dinh gii hinh thii tdn thuang, tinh

trang bdnh ly dUdng tieu hoi tren qua hinh inh ngi soi. (2) Khao sit mdi lien quan giifa tudi, gidi tinh vdi

tinh trang benh ly dudng tieu hda. Bdi tugng pbuang pbap ngbien cdu: nghien cifu theo phuang phip

nghien cdu hoi cifu. 2196 kfat benh nhan (1399 nam vi 797 nd), do tudi td 15 - 82, dugc ndi soi td thing 6

nam 2005 den thing 6 nam 2009 tai Benh vien 199 Bg Cdng An. Kdt qua: ket qui nghien edu cho tha'y Ty

le nam nd la: Nam cdi399 trtfdng hgp chiem ty le 63,71%,, so vdi nd li 797 trUdng hgp chiem ty le 36,29%.

Nhdm benh tai thUc quin li 59/2196 chiem 2,69% tai da diy cd 1758/2196 chiem 80,5%, tai ti trang cd

101/2196 chie'm 12,66%.va nhdm binh thtfdng la 278/2196 trUdng hgp chiem 12,66%,. Nhdm benh viem

giip 1331/2196 chiem 60,61%; Nhdm benh loet cd 391/2196 chiem 17,81%. Nhdm hinh thudng cd

278/2196 trudng hap chiem 12,66%, Ket luan: Chimg ldi gap 16 nhdm benh ly d dtfdng tieu hai tren: Ty le

gidi mic benh Nam nhieu ban nd trong cic nhdm benh vi ci cu the trong tifng benh. Trong nghien cifu do

tudi cd ty le cao nhii lii 20 - 25 chiem ty le 18,99%o vi do tudi thtfdng gap la 21 - 50 chiem 59,32%o.

Tff khoa: noi soi, thu'c quan, da day, ta trang

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