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目的:探讨可调节缝线联合丝裂酶素C在青光眼小梁切除术中的应用及术后效果,以减少常规手术术后常见浅前房、低眼压、眼压失控等并发症。方法:对69例原发性闭角型青光眼在实施小梁切除术中,使用可调节缝线联合使用丝裂酶素C,术后进行1个月～2年的随访。结果:术后出院平均眼压12.24mmHg,术后3个月平均眼压13.17 mmHg,6个月～24个月平均眼压14mmHg。结论:可调节缝线联合丝裂酶素C在青光眼小梁切除术中应用,可有效地降低眼压,减少并发症的发生,提高手术成功率。
Objective: To investigate the application of adjustable suture combined with mitomycin C in trabeculectomy of glaucoma and its postoperative effects to reduce the complications such as shallow anterior chamber hypoprenia, intraocular pressure loss and other common postoperative complications. Methods: Sixty-nine patients with primary angle-closure glaucoma undergoing trabeculectomy were treated with adjustable sutures in combination with mitomycin C for 1 month to 2 years. Results: The mean postoperative IOP was 12.24mmHg, the average intraocular pressure was 13.17 mmHg at 3 months and 14mmHg at 6 months to 24 months. Conclusion: Adjustable suture combined with mitomycin C in trabeculectomy of glaucoma can effectively reduce intraocular pressure, reduce the incidence of complications and improve the success rate of surgery.