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目的:观察非穿透小梁切除加羊膜植入术治疗开角型青光眼的效果。方法:原发性开角型青光眼66例87眼随机配对分为3组,分别采用非穿透小梁切除加羊膜植入术(22例29眼);复合式小梁切除术(22例29眼)及非穿透小梁切除加透明质酸钠膜植入术(22例29眼)。结果:非穿透小梁切除加羊膜植入术组与其它2组相比,术后视力恢复较好(P<0.01)、眼压控制满意(P<0.01)、并发症较少(P<0.01)。结论:非穿透小梁切除加羊膜植入术是治疗开角型青光眼的有效方法。
Objective: To observe the effect of non-penetrating trabeculectomy combined with amniotic membrane implantation in the treatment of open-angle glaucoma. Methods: A total of 87 eyes of 66 patients with primary open-angle glaucoma were randomized and divided into 3 groups. Non-penetrating trabecular surgery and amniotic membrane implantation (22 cases, 29 eyes) were performed respectively. Combined trabeculectomy (22 cases, 29 cases) Eye) and non-penetrating trabecular surgery plus sodium hyaluronate membrane implantation (22 patients in 29 eyes). Results: Compared with the other two groups, the recovery of visual acuity was better (P <0.01), the IOP was satisfied (P <0.01) and the complication was less (P < 0.01). Conclusion: Non-penetrating trabeculectomy plus amniotic membrane implantation is an effective method for the treatment of open-angle glaucoma.