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目的:对比在复合式小梁切除术中选择不同方位球结膜瓣(即以角膜缘为基底球结膜瓣和以穹隆部为基底球结膜瓣)的术后疗效。方法:从2008年1月～2010年6月随机选择了50例86眼进行复合式小梁切除术。分别行以角膜缘为基底球结膜瓣或以穹隆部为基底球结膜瓣完成复合式小梁切除术。术后随访6个月,对其疗效进行比较分析。结果:两组病例术后从前房形成情况、滤过泡形成情况、眼压控制情况进行比较分析,经统计学处理表明均无显著统计学差异(P>0.05)。结论:两种不同方位的球结膜瓣不影响复合式小梁切除术手术效果。
OBJECTIVE: To compare the postoperative efficacy of different orientations of conjunctival flaps (ie, basal conjunctival flap with corneal margin and conjunctival flap with basal dome) in compound trabeculectomy. Methods: From January 2008 to June 2010, 50 patients (86 eyes) underwent combined trabeculectomy. Respectively, with corneal limbal basement conjunctiva flap or dome-based conjunctival flap to complete the composite trabeculectomy. After 6 months of follow-up, the curative effect was compared and analyzed. Results: The incidence of anterior chamber formation, filtration bleb formation and intraocular pressure control were compared between the two groups after operation. There was no significant difference (P> 0.05) after statistical analysis. CONCLUSION: Two different orientations of the conjunctival flap do not affect the surgical outcome of combined trabeculectomy.