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目的 :观察复合小梁切除术治疗闭角型青光眼的临床疗效。方法 :对 12例 (14只眼 )闭角型青光眼患者施行小梁切除术 ,并联合应用丝裂霉素及巩膜瓣可拆除缝合 ,随访 10个月以上 ,同时与另一组 (14例 15只眼 )作传统小梁切除术的闭角型青光眼患者作比较。结果 :改良术组术后浅前房发生率为 2 1 4% ,显著低于单纯小梁切除术的 40 % ,而远期功能性滤泡及眼压成功控制的比例前者也明显高于后者。结论 :小梁切除术联合应用丝裂霉素及巩膜瓣可拆除缝合治疗闭角型青光眼 ,操作较简单 ,疗效确切 ,并发症少 ,值得推广应用。
Objective: To observe the clinical effect of compound trabeculectomy in treatment of angle-closure glaucoma. Methods: 12 cases (14 eyes) of patients with angle-closure glaucoma underwent trabeculectomy combined with mitomycin and scleral flap can be removed and sutured, followed up for more than 10 months, at the same time with another group (14 cases of 15 Eyes) for trabeculectomy compared with patients with angle-closure glaucoma. Results: The incidence of shallow anterior chamber in modified surgery group was 21.4%, which was significantly lower than that of trabeculectomy alone, while the proportion of long-term functional follicular and intraocular pressure control success was significantly higher than that of the latter By. Conclusion: Trabeculectomy combined with mitomycin and scleral flap can be used in the treatment of angle-closure glaucoma. The operation is simple, the curative effect is definite and the complication is less. It is worth popularizing and applying.