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目的确定外路小梁切开联合切除术治疗开角型青光眼的效果。方法对21例（36眼）相对年轻的开角型青光眼患者行小梁切开联合切除术，并与20例（33眼）单行小梁切除术的患者进行比较。结果治疗组随访14例（24眼），平均随访22．5mo，眼压控制率为87．5％（不用药），局部用抗青光眼药物达95．7％。对照组随访16例26眼，平均随访19．3mo，眼压控制率为53．8％（不用药），局部用药为73．1％，两组比较有显著差异。结论外路小梁切开联合切除术治疗相对年轻的开角型青光眼患者比单纯小梁切除术成功率明显提高。
Objective To determine the effect of trabeculectomy combined with open excision on open angle glaucoma. Methods Twenty-one patients (36 eyes) with open-angle glaucoma who had relatively young open angle glaucoma underwent trabeculectomy combined with 20 patients (33 eyes) with single trabeculectomy. Results The treatment group was followed up for 14 cases (24 eyes). The average follow-up time was 22.5 months. The IOP control rate was 87.5% (without medication). The local anti-glaucoma drug reached 95.7%. The control group was followed up in 16 cases (26 eyes) with an average follow-up of 19.3 months. The intraocular pressure control rate was 53.8% (without medication) and the local drug use was 73.1%. There were significant differences between the two groups. Conclusion Extraoral trabeculectomy combined with resection of the treatment of relatively young patients with open-angle glaucoma than trabeculectomy success rate was significantly increased.