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目的 :应用寿命表法评价可拆褥式缝线小梁切除术后远期疗效。方法 :对 6 3例 (82只眼 )青光眼患者在表面麻醉下行巩膜瓣可拆褥式缝线小梁切除术 ,术后 3～ 14天拆除巩膜瓣缝线 ,用寿命表法分析术后远期疗效。结果 :得出各年成功率及成功率曲线 ,术后 5年成功率分别是 :4 0只眼原发性开角型青光眼为 (6 7 91± 5 3) % ,4 2只闭角型青光眼为 (6 8 34±6 1) % ,眼压失控主要发生在手术 1年以内。结论 :寿命表法客观准确地反映了整个随诊期不同时点的真实情况 ,对长期追踪的病例进行研究 ,是一种较为科学的统计方法 ,值得推广。
Objective: To evaluate the long-term efficacy of removable mattress suture trabeculectomy with life table method. Methods: Sixty-three patients (82 eyes) with glaucoma underwent scleral flap detachable suture trabecular surgery under surface anesthesia. The scleral suture was removed 3 to 14 days after operation. Period of efficacy. Results: The success rate and success rate curve of each year were obtained. The success rates at 5 years after surgery were as follows: 60 eyes with primary open-angle glaucoma of (60 7 91 ± 5 3)%, 42 eyes closed-angle Glaucoma was (6 8 34 ± 6 1)%. IOP was mainly controlled within 1 year after surgery. Conclusion: The life table method objectively and accurately reflects the real situation at different time points of the whole follow-up period. It is a more scientific method to study long-term follow-up cases and is worthy of popularization.