复合式小梁切除术的临床疗效观察

Clinical observation of compound trabeculectomy

目的：评价复合式小梁切除术的疗效。方法：对2003-03／2006-12收治的128例（152眼）青光眼患者施行复合式小梁切除术，术后检查前房深度、滤过泡情况和眼压。随访时间4～18mo。结果：本组病例术后浅前房发生率5．9％（9眼），保持功能性滤过泡者93．4％（142眼），以眼压≤20．6mmHg为手术成功标准，手术成功率89．5％。无渗漏、感染。结论：复合式小梁切除术可以调节房水滤过量，减少并发症发生，提高手术成功率。

AIM. To evaluate the effect of compound trabeculectomy. METHODS： One hundred and twenty-eight patients （152 eyes ） with glaucoma were performed compound trabeculectomy. The anterior chamber depth, filtering blebs, intraocular pressure were observed. The follow-up period ranged from 4 to 18 months. RESULTS： The incidence of shallow anerior chamber was 9 eyes （5. 9%）, 142 eyes （93. 4%） maintained functional blebs. The operative success rate was 89.5% （IOP≤20.6mmHg with or without medications）. None of 152 operated eyes had leaking blebs or intraocular infection. CONCLUSION： The compound trabeculectomy adjusted the amount of aqueous humor out-flowing, decreased postoperative complications and elevated the rate of surgical success.