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目的是在原板层下巩膜咬切术的基础上进行改进来增加手术的成功率。设计的方法原理:一、扩大巩膜瓣面积(6mm×6mm)来增加滤过面积,确保理想术后的眼压并防止术后疫痕性滤泡使眼压升高。二、采用线结埋藏缝合,五针大跨度缝线连接咬切口、巩膜辩、结膜下,5个线结均在巩股辩下,并有一定张力,促进前房早期形成,防止术后低眼压等一系列并发症。巩膜床与巩膜辩之间组织来源于一个胚叶,相互不能愈合,即使有纤维组织阻塞、五条缝线也能起到引流作用。并从咬切口至结膜下形成一永久通道,保障手术成功。本组79例96眼术后两年观察,手术成功率为98.95%。本文对手术后的方法疗效与其它抗青光眼方法进行对比性论述。
The purpose is to improve the success rate of surgery based on the original scleral bite resection. The design principle of the method: First, to expand the scleral flap area (6mm × 6mm) to increase the filtration area, to ensure the desired postoperative intraocular pressure and to prevent postoperative dialysis follicular IOP increased. Second, the use of suture buried suture, five-needle long-suture connection bite incision, sclera debate, conjunctival, 5 knot in the Gong shares the debate, and there is a certain tension to promote the early formation of anterior chamber to prevent postoperative low IOP and a series of complications. Scleral buckling between the scleral bed and tissue from a embryo, can not heal each other, even with fibrous tissue obstruction, five sutures can also play a role in drainage. And from the bite incision to form a permanent channel under the conjunctiva to ensure the success of surgery. The group of 79 cases of 96 cases were observed two years after operation, the success rate of surgery was 98.95%. This article compares the postoperative efficacy of the method with other anti-glaucoma methods.