复合式小梁切除术治疗原发性青光眼的临床观察

目的观察复合式小梁切除术治疗原发性青光眼的疗效、安全性、实用性和并发症,探讨该手术在治疗青光眼中的临床应用前景。方法选取原发性青光眼98例（110眼）为对照组,采用常规小梁切除术;另选取原发性青光眼106例（118眼）为观察组,采用复合式小梁切除术。术后随访3～12个月,观察两组术后眼压、视力、滤过泡以及并发症发生等情况。结果观察组术后浅前房发生率为2.5%,眼压平均为（10.221±1.806）mmHg,形成功能性滤过泡占90.7%;对照组分别为22.7%、（8.033±6.768）mmHg、53.6%。两组比较差异均有统计学意义（P〈0.01）。结论复合式小梁切除术治疗原发性青光眼在防止术后浅前房、术后滤过泡形成和眼压控制方面均比传统小梁切除术有明显优点,成功率及安全性高,并发症少。

Clinical observation of composite trabeculectomy for glaucoma

Objective To observe the efficacy,safety,practicality and complications of composite trabeculectomy for primary glaucomae;explore the potential clinical application of the surgery in the treatment of glaucoma.Methods Ninety-eight patients of the control group（n = 110） received conventional trabeculectomy,106 patients of the observation group（n = 118） received composite trabeculectomy,the patients were followed up for 3 ～ 12 months,the intraocular pressure,vision,bleb and complications were observed.Results In the observation group,the postoperative incidence of shallow anterior chamber was 2.5%,the average IOP was 14.8mmHg,the formation of functional blebs was 90.7%.The retardation rate of anterior chamber of the observation group was significantly lower than that of the control group;the intraocular pressure of the observation group was significantly better than that of the control group.The rate of the presence of functional blebs of the observation group was higher than that of the control group.Conclusion The composite trabeculectomy for primary glaucoma is superior to the traditional trabeculectomy in preventing postoperative shallow anterior chamber,postoperative bleb formation and IOP control with obvious advantages of higher success rate,safe,and fewer complications.