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目的探讨急性闭角型青光眼的临床治疗方法。方法 46例(52只眼)急性闭角型青光眼患者随机分为研究组与对照组,研究组行复合式小梁切除术(联合丝裂霉素),对照组行传统小梁切除术,比较两组患者的视力、眼压及并发症,随访3个月。结果术后早期1个月,两组平均眼压统计比较无显著性差异。术后3个月两组视力无显著差异,研究组眼压显著低于对照组(P<0.05)。结论复合式小梁切除术治疗急性闭角型青光眼疗效确切,值得在急性闭角型青光眼手术中推广。
Objective To investigate the clinical treatment of acute angle-closure glaucoma. Methods 46 patients (52 eyes) with acute angle-closure glaucoma were randomly divided into study group and control group. The study group received trabeculectomy combined with mitomycin and the control group received trabeculectomy. Visual acuity, intraocular pressure and complications of two groups were followed up for 3 months. Results One month after the operation, there was no significant difference between the two groups in the average IOP statistics. There was no significant difference in visual acuity between the two groups at 3 months after operation. The IOP in the study group was significantly lower than that in the control group (P <0.05). Conclusion Combined trabeculectomy for the treatment of acute angle-closure glaucoma is effective and worthy of promotion in acute angle-closure glaucoma surgery.