目的:观察改良复合式小梁切除术治疗青光眼及其并发症。方法:对确诊为原发性青光眼的26例35眼患者随机分为观察组改良复合式小梁切除术(17眼)与对照组单纯小梁切除术(18眼)进行观察分析,随访6～12(平均9.8)mo。结果:手术前后眼压情况:术前观察组54.37±6.30mmHg,对照组45.71±6.59mmHg;术后7d,观察组13.18±1.63mmHg,对照组13.33±2.11mmHg;术后6～12mo,观察组14.24±1.63mmHg,对照组19.33±2.14mmHg。观察组术后第1d前房形成15眼(88%),Ⅰ度浅前房1眼,Ⅱ度浅前房1眼,术后浅前房占12%(2/17)。对照组术后第1d前房形成8眼(44%),Ⅰ度浅前房6眼,Ⅱ度浅前房2眼,Ⅲ度浅前房2眼,浅前房共占56%(10/18)。6～12mo观察组中88%(15/17)为功能性滤过泡。对照组中56%(10/18)为功能性滤过泡。结论:复合式小梁切除术明显地提高了手术的成功率,减少术中、术后并发症,是一种理想的手术方法。

AIM:To study the clinical effects of the improved compound trabeculectomy for glaucoma and its complications.METHODS:A total of 26 cases(35 eyes)with primary glaucoma were randomly divided into 2 groups,observation group(17 eyes) treated with improved compound trabeculectomy,control group(18 eyes)treated with simple trabeculectomy.The follow-up time was 6 to 12 months(average 9.8 months).RESULTS:Preoperative intraocular pressure(IOP) was 54.37±6.30 mmHg in observation group,and 45.71±6.59 mmHg in control group.7 days postoperative,IOP of observation group was 13.18±1.63mmHg,that of control group was 13.33±2.11mmHg.6-12 months postoperative,IOP of observation group was 14.24±1.63mmHg,that of control group was 19.33±2.14mmHg.In observation group,15 eyes(88 %) had anterior chamber formation at 1st day postoperatively,2 eyes(12%) had shallow anterior chamber(Ⅰ & Ⅱ degree each one).In control group,only 8 eyes(44%) had anterior chamber formation at 1st day after surgery,10 of 18 eyes(56%) had shallow anterior chamber,among those Ⅰ degree was 6 eyes,Ⅱ and Ⅲ degree each 2 eyes.6-12 months postoperatively,functional filtration bleb was 88%(15/17) in observation group and 56 %(10/18) in control group respectively.CONCLUSION:The improved compound trabeculectomy significantly increases the successful rate of operation,decreases intraoperative,postoperative complications,which is an ideal glaucoma therapy.

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