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目的:青光眼术后迅速恢复和维持正常前房深度,按需要改善滤过量并能有效抑制瘢痕形成。方法:对原发性青光眼患者,分别采用复合式小梁切除术和传统小梁切除术进行临床观察和随访。结果:复合式小梁切除术术后无论在眼压控制上还是在抑制滤过泡瘢痕化方面都明显优于传统小梁切除术。结论:复合式小梁切除术即联合使用小梁切除术、巩膜瓣缝线的松解或拆除方法和影响伤口愈合的抗代谢药物对于原发性青光眼,无论从眼压控制,还是前房稳定方面,复合式小梁切除术都明显优于传统小梁切除术。
OBJECTIVE: Glaucoma can quickly restore and maintain the normal depth of anterior chamber after surgery, improve the filtration volume as needed and effectively inhibit the formation of scar. Methods: The patients with primary glaucoma were treated with combined trabeculectomy and trabeculectomy for clinical observation and follow-up. Results: Compared with traditional trabeculectomy, compound trabeculectomy was significantly better than IOP in controlling intraocular pressure and inhibiting scarring of bleb. CONCLUSIONS: Combined trabeculectomy, trabeculectomy, loosening or removal of scleral suture, and antimetabolites that affect wound healing are associated with primary glaucoma, both in terms of intraocular pressure and stability of the anterior chamber In terms of composite trabeculectomy were significantly better than the traditional trabeculectomy.