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目的 :评价复合式小梁切除术的疗效。方法 :回顾 1996年 8月至 1999年 8月行复合式小梁切除术 168例、2 0 2眼的病历。手术成功的指标为眼压大于 0 .533kPa ,低于 2 .80kPa ,比术前眼压下降 2 0 %。平均随访 2 0 .1± 1.8个月。结果 :2 0 2眼手术成功率为 96% ,术后早期浅前房 ,角膜上皮损害及结膜房水渗漏发生率低 ,术后无 1例发生晚期滤过泡渗漏和与滤过泡感染有关的眼内炎。结论 :复合式小梁切除术适用于多种类型的青光眼 ,合并症少 ,成功率高。
Objective: To evaluate the efficacy of combined trabeculectomy. Methods: The clinical records of 168 cases and 202 eyes retrospectively reviewed from August 1996 to August 1999 were retrospectively analyzed. Surgical success indicators for intraocular pressure greater than 0 .533kPa, less than 2.80kPa, 20% lower than the preoperative intraocular pressure. The average follow-up was 20.1 ± 1.8 months. Results: The success rate of operation in 202 eyes was 96%. The incidence of shallow anterior chamber and corneal epithelium damage and leakage of conjunctival aqua was low at the early postoperative period. No leakage of filtration bleb and leakage of filtration fluid Infection related endophthalmitis. Conclusions: Combined trabeculectomy is suitable for many types of glaucoma with less complications and high success rate.