目的：比较复合式小梁切除术和传统小梁切除术在治疗青光眼持续高眼压的疗效差别。方法：回顾比较我院2006/2009年的103例103眼术前眼压控制不良的青光眼患者,这些患者分别行复合式小梁切除术59眼和传统小梁切除术44眼,比较这两种术式术后前房形成、眼压情况及滤过泡情况并作统计学分析。结果：患者103例103眼手术顺利完成,均未出现爆发性脉络膜上腔出血、玻璃体脱出等并发症。术后随访6~24mo,复合小梁切除组中不用任何药物眼压控制在10~21mmHg共49眼；传统小梁切除术组中不用任何药物眼压控制在10~21mmHg共31眼。应用SPSS 17.0软件进行分析,两者差异有显著性意义（P=0.002<0.05）,即复合小梁切除术比传统小梁切除术疗效好。结论：复合式小梁切除术对多种类型青光眼的近、远期效果好,并发症少,成功率高。

AIM: To investigate effect between compound and traditional trabeculectomy for the treatment of glaucoma with persistent high intraocular pressure. METHODS: Retrospectively analyzed 103 glaucoma cases (103 eyes) with persistent high intraocular pressure in our hospital from 2006/2009. All cases were divided into group A and group B. Fifty-nine eyes in group A underwent compound trabeculectomy. Forty-four eyes in group B underwent traditional trabeculectomy. The postoperative incidence of depth of anterior chamber, postoperative IOP, filtration blebs and complications were followed up and compared and statistically analyzed. RESULTS: The operation was successful in all the cases. No perichoroidal space bleeding or vitreous prolapse occurred. During the follow-up of 6-24 months, the IOP was 10-21mmHg in 49 eyes in group A and 31 eyes in group B. There was significant difference between group A(83.1%,49 eyes)and group B (70.5%, 31 eyes) by SPSS 17.0(P=0.002<0.05). CONCLUSION: The compound trabeculectomy is applicable to many types glaucoma with less complications and high successful rate.