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目的探讨复合式小梁切除治疗青光眼的临床疗效。方法对311例(334眼)青光眼采用复合式小梁切除术并进行回顾性分析。结果随访3～20周,术后Ⅰ型滤过泡227眼;Ⅱ型滤过泡97眼;Ⅲ型滤过泡10眼;视力提高2行以上202眼占60.5%,无变化95眼占28.4%,视力下降2行以上37眼占11.1%。眼压控制在10～16mmHg之间198眼占59.3%,眼压控制在17～20mmHg之间129眼占38.6%,眼压控制在25～28mmHg之间7眼占2.1%。结论复合式小梁切除术有利于功能性滤过泡形成和理想的眼压控制,减少并发症,提高手术成功率。
Objective To investigate the clinical efficacy of compound trabeculectomy in the treatment of glaucoma. Methods 311 cases (334 eyes) of glaucoma with composite trabeculectomy and retrospective analysis. Results The patients were followed up for 3 ~ 20 weeks. There were 227 eyes of type Ⅰ filter bleb, 97 eyes of type Ⅱ filter, 10 eyes of type Ⅲ filter bleb, 202 eyes of more than 2 lines accounted for 60.5%, 28 eyes of no change 95 eyes. %, Eyesight decreased more than 2 lines 37 eyes accounted for 11.1%. Intraocular pressure control in the 10 ~ 16mmHg 198 eyes accounted for 59.3%, intraocular pressure control in 17 ~ 20mmHg 129 eyes accounted for 38.6%, intraocular pressure control in 25 ~ 28mmHg 7 eyes accounted for 2.1%. Conclusions Composite trabeculectomy is beneficial to the formation of functional bleb and the optimal intraocular pressure control, reducing the complications and improving the success rate of operation.