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目的 通过改进手术方法提高小梁切除术的成功率。方法 对原发性青光眼设计了以睫状突定量的小梁切除术并施行 10 2例 (12 4眼 ) ,其疗效与传统的小梁切除术进行对比。主要的手术改进是定量地切除小梁组织 ,其宽度为 3个睫状突宽度 ,大小为 1～ 2mm× 1 5～ 3 5mm。结果 术后随访 4～ 36月 ,平均 19月 ,与对照组相比 ,眼压控制率高 ,术后并发症发生率低 (P <0 0 5 )。结论 以睫状突定量的小梁切除术是一种设计合理 ,安全有效的抗青光眼手术
Objective To improve the success rate of trabeculectomy by improving the surgical method. Methods The primary glaucoma was designed with trabeculectomy of ciliary process and 10 2 cases (12 4 eyes) were performed. The curative effect was compared with trabeculectomy. The main surgical improvement is the quantitative removal of trabecular tissue, the width of the width of 3 ciliary processes, the size of 1 ~ 2mm × 15 ~ 3 5mm. Results The patients were followed up for 4 to 36 months, with an average of 19 months. Compared with the control group, the IOP was high and the incidence of postoperative complications was low (P <0.05). Conclusion Ciliary process with a fixed amount of trabeculectomy is a well-designed, safe and effective anti-glaucoma surgery