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目的：为探讨ｓｏｈｌｅｍｍ管切开联合小梁切除术治疗先天性青光眼的疗效。方法：由外Ｓｃｈｌｅｍｍ管断端插入切开刀行１４０°切开；小梁切除包括Ｓｃｈｌｅｍｍ管，大小为１×３ｍｍ２，并行虹膜根切。对１５例（２６只眼）先天性青光眼进行治疗和观察，其中１８只眼随访６个月至２年。结果：术后患者症状消失。与术前相比，角膜横径及杯／盘比无扩大。眼压均控制在１４．８０±３．３０ｍｍＨｇ及１６．６８±３．７１ｍｍＨｇ（Ｐ＜０．０１）。术后功能型滤泡占８８．５％（２３只眼）。随访眼压控制良好。结论：外路Ｓｃｈｌｅｍｍ管切开联合小梁切除术是一种安全、有效的治疗先天性青光眼的方法。
Objective: To investigate the effect of sohlemm tube incision combined with trabeculectomy in the treatment of congenital glaucoma. Methods: Incision was performed by the external Schlemm tube at 140 ° incision. The trabeculectomy consisted of Schlemm tube with a size of 1 × 3 mm2 and parallel iris incision. Fifteen patients (26 eyes) with congenital glaucoma were treated and observed, of which 18 eyes were followed up for 6 months to 2 years. Results: The symptoms of patients disappeared. Compared with preoperative, corneal diameter and cup / disk ratio did not expand. Intraocular pressure were controlled at 14.80 ± 3.30mmHg and 16.68 ± 3.71mmHg (P <0.01). Postoperative functional follicles accounted for 88.5% (23 eyes). Follow-up intraocular pressure control well. Conclusion: Schlemm canal incision combined with trabeculectomy is a safe and effective method for the treatment of congenital glaucoma.