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目的：探讨青光眼小梁切除术中做小巩膜瓣对手术的影响。方法：对３８例（３８只眼）青光眼作２ｍｍ×３ｍｍ巩膜瓣的小梁切除术，并与３８例（３８只眼）做４ｍｍ×４ｍｍ巩膜瓣的小梁切除术进行比较，两组条件基本相同，随访６～１９个月。结果：小巩膜瓣组功能性滤过泡占９２．１１％，对照组功能性滤过泡占７３．６８％（Ｐ＜０．０５）。成功率在小巩膜瓣组为９３．３７％，对照组为７８．９５％，两组比较差异有显著性（Ｐ＜０．０５）。结论：结果显示小梁切除术中做小巩膜瓣有助于功能性滤过泡的形成并提高手术成功率。
Objective: To investigate the effect of small scleral flap surgery in glaucoma trabeculectomy. Methods: 38 eyes (38 eyes) of glaucoma were treated with trabeculectomy with 2mm × 3mm scleral flap and compared with trabeculectomy with 4mm × 4mm scleral flap in 38 cases (38 eyes). The basic conditions The same, followed up for 6 to 19 months. Results: The functional filtration bleb accounted for 92.11% in the small scleral flap group and 73.68% in the control group (P <0.05). The success rate was 93.37% in the small scleral flap group and 78.95% in the control group, with significant difference between the two groups (P <0.05). CONCLUSIONS: The results show that a small scleral flap during trabeculectomy contributes to the formation of functional bleb and increases the success rate of surgery.