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目的 探讨提高小梁切除术远期疗效，阻止引流口瘢痕闭塞的方法。方法 对５４ 例５４ 眼青光眼采用改良小梁切除术。手术方法将原来术中丢弃的小梁巩膜作巩膜嵌顿术，将原来丢弃的周边虹膜作虹膜嵌顿术。结果 ５４眼术前平均眼压为２．９３ｋＰａ，随访１７．３ｍ ｏ，平均眼压２．２６ｋＰａ，滤过泡明显且范围广３１ 眼，中等滤过泡２０ 眼，滤过口平坦３眼按摩后滤过泡重现。结论 改良小梁切除术对提高小梁切除术远期效果有益，并有一定优点。
Objective To investigate the long-term curative effect of trabeculectomy and prevent the occlusion of scar in drainage port. Methods 54 cases of 54 cases of glaucoma using modified trabeculectomy. Surgical methods will be discarded trabecular scleral surgery for scleral incarceration, the original discarded peripheral iris for iris incarceration. Results The average preoperative intraocular pressure of 54 eyes was 2.93kPa, followed by 17.3m o, the average intraocular pressure was 2.26kPa. The filtration bleb was obvious and ranged from 31 eyes to 20 eyes with moderate filtration bleb and 3 eyes with smooth filtration mouth. After filtering bleb reproduction. Conclusion Modified trabeculectomy is helpful to improve the long-term effect of trabeculectomy and has some advantages.