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目的 :评价可调整缝线在小梁切除术中的作用。方法 :对我院近 10年因原发性开角型青光眼 (POAG)或原发性闭角型青光眼 (PACG)而首次接受小梁切除术的病例 3 2 9例 40 8眼 ,其中治疗组 14 5例 181眼和对照组 184例 2 2 7眼的手术疗效、手术并发症及住院时间进行对照分析。结果 :两组术后眼压控制理想 ;术后浅前房、低眼压、前房出血、脉络膜脱离、低眼压性黄斑病变的发生率治疗组均明显低于对照组 ,差异有显著性 (P <0 0 0 0～ 0 0 5 ) ;平均住院时间治疗组明显短于对照组 ,差异有显著性 (P <0 0 5 )。结论 :可调整缝线的应用使小梁切除术的疗效更为确切 ,并可增加手术安全性 ,减少术后早期并发症
Objective: To evaluate the role of adjustable sutures in trabeculectomy. Methods: In the past 10 years, 392 cases (40.8 eyes) received trabeculectomy for primary open angle glaucoma (POAG) or primary angle-closure glaucoma (PACG) in our hospital, of which the treatment group 14 cases of 181 eyes and control group of 184 cases of 227 eyes of surgical treatment, complications and hospital stay for comparative analysis. Results: The postoperative IOP control was satisfactory. The incidences of postoperative shallow anterior chamber, hypotony, hyphema, choroidal detachment and low ocular macular degeneration were significantly lower in the treatment group than in the control group, the difference was significant (P <0 0 0 0 ~ 0 0 5). The average length of hospital stay in the treatment group was significantly shorter than that in the control group (P <0.05). Conclusion: The application of adjustable sutures makes the effect of trabeculectomy more accurate, and can increase the safety of surgery and reduce the postoperative complications