目的探讨Schlemm’s管小梁切除术对青光眼的临床疗效。方法选择13例双眼慢性青光眼,一侧眼为绝对期,另一侧眼为青光眼中晚期患者,共26只眼。13只绝对期青光眼施行Schlemm’s管小梁切除术,另13只中晚期慢性青光眼行常规小梁切除术。结果全部病例经1～3年随访观察,Schlemm’s管小梁切除术眼,眼压控制均优于常规小梁切除术眼。除3只眼术后前房有少许出血外均未发生任何严重的并发症,眼压<18mmHg9只眼;眼压<25mmHg4只眼。结论Schlemm’s管小梁切除术可为抗青光眼手术提供一项手术方式,供临床选择。 Objective To investigate the clinical effect of Schlemm’s trabeculectomy on glaucoma. Methods Thirteen patients with chronic glaucoma of both eyes were selected. One eye was absolute and the other was middle-late glaucoma with 26 eyes. Thirteen patients with absolute glaucoma underwent Schlemm’s tube trabeculectomy, and the other 13 patients with advanced chronic glaucoma underwent conventional trabeculectomy. Results All cases were followed up for 1 to 3 years. Schlemm’s canal trabeculectomy and intraocular pressure were better than conventional trabeculectomy. Except for a small amount of bleeding in the anterior chamber of 3 eyes, no serious complications occurred. IOP <18 mmHg 9 eyes and IOP <25 mmHg 4 eyes. Conclusions Schlemm’s canal trabeculectomy provides a surgical modality for glaucoma surgery for clinical options.