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了解青光眼小梁切除术中,对以穹窿部为基底的结膜瓣采用两种不同缝合方法的手术效果,观察滤泡形态、治疗效果及并发症。方法:两组维吾尔族闭角型青光眼病人每组25只眼,共50只眼。均施行小梁切除术,采用以窟窿部为基底的结膜瓣。其中一组仅将结膜瓣对位间断2~3针缝合在角膜缘处。另一组将结膜瓣行连续锁边缝合,成为一密不漏水的结膜瓣。结果:结膜瓣连续锁边缝合组形成功能性滤过泡的比率明显大于未对结膜瓣做特殊处理组。结论:小梁切除术中,结膜瓣关闭时达到绝对不漏水是手术成功的关键,特别是当前广泛使用抗代谢药物的情况下更是如此。
To understand the trabeculectomy in glaucoma, the conjunctival flap based on fornix was treated with two different sutures. The follicular morphology, therapeutic effect and complications were observed. Methods: Two groups of Uyghur angle-closure glaucoma patients in each group of 25 eyes, a total of 50 eyes. Trabeculectomy were performed using a hole-based conjunctival flap. One group only conjunctival flap alignment intermittent 2 to 3 stitches in the corneal limbus. Another group of conjunctival flap row of continuous suture, a tight watertight conjunctival flap. Results: The rate of forming functional bleb was significantly higher than that of the control group without conjunctival flap. Conclusion: Trabeculectomy, where the conjunctival flap is closed, is absolutely key to successful surgery, especially with the current widespread use of antimetabolites.