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目的 研究小梁切除术中应用小巩膜瓣和填压缝线与拆除技术对早期恢复前房和维持滤过泡的作用。方法 32例 37眼青光眼进行小梁切除术 ,术中巩膜瓣大小为 3m m× 2 .5 m m ,填压缝线紧密缝合 ,于术后 6天切断角膜缘上线襻 ,松解拆去缝线 ,眼球按摩。结果 34例 (91.9% )前房于术后第 1天形成 ,术后 1— 2周 , 、 型滤过泡 35眼 (94.6 % ) ,平均眼压 1.86± 0 .34k Pa,2 4眼随访 3— 6个月 ,2 1眼 (87.5 % )为有效滤过泡 ,平均眼压2 .11± 0 .6 7k Pa。结论 小巩膜瓣松解填压缝线小梁切除术能减少手术并发症 ,滤过泡维持好。
Objective To study the effect of small scleral flap and filling suture and removal technique during trabeculectomy on early recovery of anterior chamber and maintenance of filtration bleb. Methods Thirty-two eyes (37 eyes) with glaucoma underwent trabeculectomy. The size of the scleral flap was 3 mm × 2.5 mm. The suture was sutured tightly and the corneal limbus was sutured 6 days after operation. , Eye massage. Results In 34 cases (91.9%), the anterior chamber was formed on the first postoperative day. After the operation for 1 to 2 weeks, there were 35 eyes (94.6%) with filtration bleb, mean IOP 1.86 ± 0.34kPa, 3-6 months, 21 eyes (87.5%) as effective filtration bleb, the average intraocular pressure 2.11 ± 0.67kPa. Conclusions The small scleral flap lysis and suture removal trabeculectomy can reduce the complications of operation, and the filtration bleb maintains well.