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目的观察不同方式的小梁切除术治疗青光眼的临床效果。方法通过回顾2006年1月至2009年12月实施小梁切除术的青光眼患者临床资料,选取符合标准的120例(135眼),观察组60例(68眼)和对照组60例(67眼),对照组行传统小梁切除术;观察组行复合式小梁切除术,术后随访3个月到1年,观察两组眼压、滤过泡形态、前房形成情况。结果术后1周内观察组在眼压、滤过泡形态、浅前房情况与对照组相比无明显差别,术后3个月到1年内两者比较差异有统计学意义。结论复合式小梁切除术与传统小梁切除术相比远期的临床效果好,有利于提高手术的成功率。
Objective To observe the clinical effects of different methods of trabeculectomy in the treatment of glaucoma. Methods The clinical data of glaucoma patients who underwent trabeculectomy between January 2006 and December 2009 were retrospectively reviewed. 120 patients (135 eyes), 60 eyes (68 eyes) and 60 eyes (67 eyes) ). The control group received conventional trabeculectomy. The observation group received trabeculectomy for 3 months to 1 year after operation. The intraocular pressure, filtering bleb morphology and anterior chamber formation were observed. Results Intraocular pressure and filtration bleb morphology in the observation group within 1 week after operation were similar to those in the control group. There was significant difference between the two groups in the 3 months to 1 year after operation. Conclusion Combined trabeculectomy with trabeculectomy compared to the long-term clinical effect is good, is conducive to improving the success rate of surgery.