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目的探讨复合小梁切除术治疗原发性青光眼的临床疗效。方法选择我院行手术治疗的原发性青光眼患者57例(76眼),分为治疗组(复合小梁切除术组)40眼和对照组(常规小梁切除术组)36眼。比较两组患者术后浅前房发生率、滤过泡情况、眼压变化等指标。结果治疗组手术成功率(87.5%)显著高于对照组(63.9%),差异有统计学意义(P<0.05);术后治疗组浅前房发生率7.5%显著低于对照组33.3%,差异有统计学意义(P<0.05);治疗组功能型滤过泡发生率85.0%于对照组83.3%比较差异无统计学意义(P>0.05)。术后6个月及1年治疗组眼压显著低于对照组,差异有统计学意义(P<0.05)。结论原发性青光眼采取复合小梁切除术,术后浅前房及低眼压发生率低,临床疗效肯定。
Objective To investigate the clinical effect of compound trabeculectomy in the treatment of primary glaucoma. Methods Fifty-seven patients (76 eyes) with primary glaucoma underwent surgery in our hospital. They were divided into treatment group (trabeculectomy group), 40 eyes and control group (trabeculectomy group), 36 eyes. The incidences of shallow anterior chamber, filtration bleb and intraocular pressure were compared between the two groups. Results The success rate (87.5%) in the treatment group was significantly higher than that in the control group (63.9%), the difference was statistically significant (P <0.05). The incidence of the shallow anterior chamber in the postoperative treatment group was significantly lower than that in the control group (7.5% (P <0.05). The incidence of functional filtration bleb in the treatment group was not significantly different from that in the control group (85.3% vs 83.3%, P> 0.05). The intraocular pressure of the 6 months and 1 year postoperatively in the treatment group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusions The primary glaucoma is a complex trabeculectomy. The incidence of postoperative shallow anterior chamber and hypotony is low, and the clinical effect is definite.