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目的观察复合式小梁切除术治疗青光眼的临床疗效。方法选择40例(40眼)青光眼施行复合式小梁切除术作为观察组。随机对照组37例(37眼)行单纯小梁切除术,比较两组术后眼压、滤过泡和前房深度。结果复合式小梁切除术(观察组)术后浅前房发生率较对照组低,术后3个月观察组的功能性滤过泡较对照组多,无严重并发症发生。结论复合式小梁切除术不仅能提高滤过性手术的成功率而且能减少术后并发症的发生。
Objective To observe the clinical efficacy of compound trabeculectomy in the treatment of glaucoma. Methods Forty patients (40 eyes) with glaucoma underwent combined trabeculectomy as the observation group. 37 patients (37 eyes) in the randomized control group were treated with trabeculectomy alone. The intraocular pressure, filtration bleb and anterior chamber depth were compared between the two groups. Results The incidence rate of shallow anterior chamber in composite trabeculectomy (observation group) was lower than that in control group. The functional filtration bleb in observation group was more than control group 3 months after operation, and no serious complication occurred. Conclusion Combined trabeculectomy can not only improve the success rate of filtering surgery but also reduce the incidence of postoperative complications.