复合式小梁切除术中手术技巧与体验

The Surgical Skills and Experience on Combined Trabeculectomy

目的探讨复合式小梁切除术中手术技巧及可行性。方法在复合式小梁切除术中,使用MMC,并在缝合巩膜瓣时一侧经结膜(绕开滤过泡区域)缝合可调缝线1针,术后对患者眼压、前房深度、滤过泡、视力、其他并发症随访观察12～24月。结果49眼手术后1周总体眼压控制,前房深度正常。结论经结膜巩膜瓣可调缝线复合式小梁切除术操作简单易学,术后并发症少,是各型复合式小梁切除术中值得使用的方法之一。

Objective To explore the surgery skill and the feasibility of combined trabeculectomy. Methods In the combined trabeculectomy, uses MMC, and when suturing the scierotic petal one side through the conjunctiva could suture the adjustable sewing thread 1 needle, after operation intraoeular pressure,the anteroom depth,folliculus,the vision and other complication were followed up for 12 -24 months after operation. Results lntraocular pressure was controlled, the anteroom depth is normal 1 week after operation. Conclusion Simple easy to study after the eonjunctiva sclerotic petal adjustable sewing thread combined trabeeuleetomy,after the technique the complication are few,is one of methods which in each combined trabeculectomy is worth using.