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目的比较两种不同的青光眼滤过手术后并发症发生情况,以期找出降低术后并发症发生率最有效的手术方式。方法对122例150眼分别行传统小梁手术及传统手术加可调节缝线手术,对术后并发症发生情况进行比较分析。结果观察组的眼压控制率、功能性滤过泡比例均较对照组高(P<0.05),浅前房的出现比例明显少于对照组(P<0.01)。无严重并发症,眼压控制良好。结论牢固的巩膜瓣缝合加可调节缝线大大降低了术后并发症的发生率。
Objective To compare the incidence of complications after two different glaucoma filtration surgery in order to find the most effective surgical methods to reduce the incidence of postoperative complications. Methods A total of 122 cases (150 eyes) were treated by trabeculectomy combined with traditional surgery plus adjustable sutures respectively. The incidence of postoperative complications were compared and analyzed. Results The intraocular pressure (IOP) and functional bleb ratio in the observation group were significantly higher than those in the control group (P <0.05). The incidences of the shallow anterior chamber were significantly less than those in the control group (P <0.01). No serious complications, IOP well controlled. Conclusions A solid scleral suture with adjustable sutures greatly reduces the incidence of postoperative complications.