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目的 了解可拆式缝线是否能减少丝裂霉素 C(MMC)小梁切除术后并发症。方法 MMC联合可拆式缝线小梁切除术治疗 16例 ( 2 1眼 )难治性青光眼 (RG)。术后 1天、1月及 1年 ,检查纪录术眼前房深度、眼压、滤过泡情况。结果 本组病例 ,术后早期Ⅱ度浅前房占 9.5 2 % ,持续性低眼压 14 .2 9%。术后 1年 ,保持功能性滤过泡者 76.19%。全部手术眼均无伤口漏和滤过泡漏。以眼压≤ 2 1.0 5mmHg为手术成功标准 ,手术成功率为 80 .95 %。结论 MMC可提高RG术后眼压控制率 ,而联合可拆式缝线 ,可有效控制术后滤过水平 ,减少术后并发症
Objective To understand whether detachable suture can reduce the postoperative complications of mitomycin C (MMC) trabeculectomy. Methods MMC combined with detachable suture trabeculectomy in 16 patients (21 eyes) refractory glaucoma (RG). One day after operation, one month and one year after operation, the anterior chamber depth, intraocular pressure and filtration bleb condition were recorded. Results This group of patients, early Ⅱ Ⅱ shallow anterior chamber accounted for 9.5 2%, sustained low intraocular pressure 14.29%. One year after operation, 76.19% of patients maintained functional filtering bleb. All surgical eyes without wound leakage and filtration bubble leakage. The intraocular pressure ≤ 2 1.0 5mmHg for the success of surgery standards, the success rate of surgery was 80.95%. Conclusions MMC can improve the intraocular pressure control rate after RG surgery. Combined with detachable sutures, it can effectively control postoperative filtration and reduce postoperative complications