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目的 :评价下方小梁切除术的手术效果、并发症及应用前景。方法 :回顾性分析 1 995年 1 2月～ 1 997年 1 2月我科 5 8眼下方小梁切除术的资料。其中包括病人的年龄、青光眼的类型、手术前后的眼压、并发症 ,以及使用或不使用丝裂霉素C的情况。结果 :术后随访时间 ( 1 3 4± 1 8)月。术后 3个月、 6个月的眼压分别为 ( 1 3 42± 1 6)mmHg和 ( 1 5 6± 2 45 )mmHg。2眼眼压 >2 1mmHg ,1眼低眼压。术后并发症 :葡萄膜炎 ( 1 2 7%) ,浅前房 ( 6 3 4%) ,早期伤口渗漏 ( 5 1 7%) ,薄壁滤过泡( 3 45 %) ,滤过泡纤维化 ( 3 45 ) ,单眼复视 ( 6 9%) ,白内障加速 ( 6 9%)。结论 :下方小梁切除术是一种安全有效的外科手术。它可保留最方便的手术部位予今后的白内障手术 ,同时也给既往上方小梁切除术失败或白内障摘除人工晶体植入的病人以手术恢复的机会。临床观察未发现病人有严重的术后并发症
Objective: To evaluate the surgical results, complications and application prospects of trabeculectomy. Methods: The data of trabeculectomy at the lower part of 58 in our department from January 1995 to January 1997 were retrospectively analyzed. These include the patient’s age, type of glaucoma, intraocular pressure before and after surgery, complications, and with or without mitomycin C. Results: The follow-up time was (34 ± 18) months. The intraocular pressure at 3 months and 6 months after operation were (1342 ± 16) mmHg and (165 ± 2 45) mmHg, respectively. 2 intraocular pressure> 2 1mmHg, 1 eye low intraocular pressure. Postoperative complications included uveitis (122%), shallow anterior chamber (63.4%), early wound leakage (51.7%), thin-wall filtration bleb Fibrosis (345), monocular diplopia (69%), and cataract acceleration (69%). Conclusions: Trabeculectomy below is a safe and effective surgical procedure. It can retain the most convenient surgical site for future cataract surgery, but also to the previous trabeculectomy failed or cataract extraction and intraocular lens implantation in patients with surgical recovery opportunities. Clinical observation did not find the patient has serious postoperative complications