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[摘要]
目的：分析并总结青光眼行小梁切除术在基层医院眼科开展的效果。
方法：对青光眼患者316例405眼行小梁切除术，对术后的眼压、滤过泡及并发症进行回顾性分析。
结果：术后随访12mo，其中76.5%眼压控制正常； 滤过泡Ⅰ型42.5%，Ⅱ型33.1%，Ⅲ型14.6%，Ⅳ型9.9%； 术中并发症发生率2.5%，术后早期(出院前)并发症发生率31.4%，术后远期(出院6mo后)并发症发生率6.7%。
结论：小梁切除术能较好解决青光眼高眼压问题，在基层医院开展较成熟，但术中术后仍有多种并发症发生。
[Key word]
[Abstract]
AIM: To analyze and summarize the effect of glaucoma trabeculectomy in the department of ophthalmology in basic hospital.
METHODS: Postoperative intraocular pressure(IOP), filtering bleb and complications of 316 cases(405 eyes)of patients with glaucoma after trabeculectomy were analyzed.
RESULTS: After follow-up 12mo, 76.5% IOP was controlled in normal level. 42.5% was filtration bleb typeⅠ, 33.1% type Ⅱ, 14.6% in type Ⅲ and 9.9% in type Ⅳ. Intraoperative complication rate was 2.5%, that was 31.4% at postoperative early stage(before discharge), and 6.7% at postoperative long-term(6mo after discharge).
CONCLUSION: Trabeculectomy for glaucoma can better solve the problem of high IOP. It is more mature in primary hospitals, but there are still a variety of intraoperative and postoperative complications.
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