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目的：探索小梁切除联合巩膜层间反折小梁组织垫入在预防和减少滤过道阻塞中的作用。方法收集青光眼患者36例（36眼），即在常规小梁切除术的基础上将小梁巩膜条一端切断，一端部分保留并反折合于深层巩膜上，术后随访6～24个月。结果术后眼压控制在21 mmHg以下者33例33眼，平均为（15．86±3．01）mmHg，明显低于术前平均水平（29．62±5．49）mmHg（t＝7．398，P＜0．001）。手术成功率为94．45％。结论小梁切除联合巩膜层间反折小梁组织垫入术能有效控制眼压，减少滤过道瘢痕阻塞，手术简便易行，安全有效。“,”Objective To reduce the post-operative blocking of filtration canal in trabeculectomy with scleral reflexed trabecular tissue padding into the operation.Methods 36 patients with glaucoma (36 eyes)were enrolled in this stud-y.The modification of the procedure of routine trabeculectomy was that one end of the layer sclera tissue including part of trabecular meshwork want cut.Instead,the free end of the strip of deep sclera tissue was vertically rotated and sutured on the deep layer of the scleral bed posterior to it.The projection of the strip was utilized to prevent post-opera-tive blocking of filtration canal.Results The post-operative intraocular pressure was below 21 mmHg in 33 eyes of 33 cases,the average as (15.86 ±3.01)mmHg,significantly lower than the average level before operation (29.62 ± 5.49)mmHg(t=7.398,P<0.001).The success rate of operation was 94.45%.Conclusion Trabeculectomy with scleral reflexed trabecular tissue padding into the operation can effectively control the intraocular pressure and reduce the filtering bleb scar obstruction.