复合式与单纯小梁切除术治疗青光眼的疗效

目的：对比观察复合式与单纯小梁切除术治疗青光眼的临床疗效。方法：青光眼患者73例82眼随机分为A组（37例42眼）和B组（36例40眼）,分别采用复合式小梁切除术和单纯小梁切除术治疗,术后随访3mo,观察并比较两组的浅前房发生率、滤过泡形成情况以及眼压控制情况。结果：A组浅前房发生率为4.8%（Ⅰ度）,B组浅前房发生率为35.0%（Ⅰ度＋Ⅱ度）,两组浅前房发生率比较,差异有统计学意义（P〈0.05）;A组随访结束时共38眼（90.5%）为功能性滤过泡,B组共28眼（70.0%）为功能性滤过泡,两组功能性滤过泡形成率比较,差异有统计学意义（P〈0.05）;术后3mo时,A组眼压获完全控制者共37眼（88.1%）,显著高于B组（52.5%）,组间比较差异有统计学意义（P〈0.05）;术后3mo时,A组平均眼压为15.2±2.3mmHg,显著低于B组（18.5±2.5mmHg）,组间比较差异有统计学意义（P〈0.05）。结论：复合式小梁切除术可有效减少术后浅前房的发生,在功能性滤过泡形成和眼压控制方面疗效显著,明显优于单纯小梁切除术。

Comparison of efficacy of compound and simple trabeculectomy for glaucoma

AIM：To compare the clinical efficacy of compound and simple trabeculectomy for glaucoma.METHODS：Totally 73 cases（82 eyes） glaucoma patients were randomly divided into group A 37 cases（42 eyes） and group B 36 cases（40 eyes） which received compound and simple trabeculectomy respectively,all patients were followed up for 3 months and the incidence of shallow anterior chamber,bleb formation and control of intraocular pressure of both groups were observed and compared.RESULTS：：The incidence of shallow anterior chamber of group A and group B were 4.8%（Ⅰ degree） and 35.0%（Ⅰdegree＋Ⅱdegree） respectively,the difference between groups was statistically significant（P0.05）;to the end of follow-up,38 eyes（90.5%） got functional bleb in group A and 28 eyes（70.0%） got functional bleb in group B,the functional bleb formation rate had statistical difference between groups（P0.05）;in 3 months post-operation,a total of 37 eyes（88.1%） got complete control of intraocular pressure in group A which was significantly higher than group B（52.5%）,the difference between groups was statistically significant（P0.05）;the mean intraocular pressure of group A in 3 months post-operation was 15.2±2.3mmHg which was significantly lower than group B（18.5±2.5mmHg）,the difference between groups was statistically significant（P0.05）.CONCLUSION：Compound trabeculectomy can effectively reduce the incidence of postoperative shallow anterior chamber;its efficacy is also obvious in functional filtering bleb formation and intraocular pressure control which is significantly better than that of simple trabeculectomy.