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本文报告了微观下小梁切除术术后56例76眼的远期手术效果,随访时间3～30个月。手术成功率为67.1％。术后A组(3～6个月组)17眼中,13眼眼压被控制,占76.5％。B组(6～12个月组)眼压控制率为8/20,占40％。C组(12～18个月组)眼压控制率为8/11,占72.7％。。D组(18～30个月组)眼压控制率为22/28,占78.5％。 本文讨论了小梁切除术是否成功是与手术质量,病人术前眼压,术后治疗等因素密切相关,提出术前尽量降低眼压,术中虹膜周边部切除要适当的宽些。术后除散瞳、激素治疗以外,及时行眼球按摩有可能提高手术成功率。
This article reports the long-term results of 56 cases of 76 eyes after trabeculectomy at microscopic follow-up of 3 to 30 months. The success rate of surgery was 67.1%. Of 17 eyes in group A (3-6 months), 13 eyes were controlled by intraocular pressure (76.5%). Group B (6 to 12 months) intraocular pressure control rate was 8/20, accounting for 40%. Group C (12-18 months) IOP control rate was 8/11, accounting for 72.7%. . Group D (18 to 30 months) intraocular pressure control rate was 22/28, accounting for 78.5%. This article discusses the success of trabeculectomy is related to the quality of surgery, preoperative intraocular pressure, postoperative treatment and other factors are closely related, proposed to minimize intraocular pressure before surgery, intraoperative iris peripheral resection should be appropriate and wider. In addition to mydriasis, hormone therapy, the timely line of eye massage may improve the success rate of surgery.