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目的对小梁切除术中应用无暴露线结的巩膜瓣可拆除缝线法与传统的小梁切除术的术后并发症、疗效进行分析。方法７１例（８０眼）首次行小梁切除术患者分为２组，可拆除缝线组３５例（４０眼），术中应用双臂一体无暴露线结的巩膜瓣可拆除缝线；对照组３６例（４０眼）行传统的小梁切除术。结果术后浅前房发生率，可拆除缝线组７．５％（３眼），对照组２７．５％（１１眼）（Ｐ＜０．０５）。随访至术后６个月，２组手术成功率分别为：８７．５％和８５％（Ｐ＞０．０５），但可拆除缝线组术后眼压比对照组更低（Ｐ＜０．０５）。结论该技术能在小梁切除术后早期灵活地控制滤过量，明显减少了术后因滤过强所致的浅前房，可将术后眼压控制在较低水平
Objective To analyze the postoperative complications and curative effect of trabeculectomy without scleral flap removal in trabeculectomy. Methods Totally 71 eyes (71 eyes) underwent trabeculectomy were divided into two groups, 35 cases (40 eyes) with detachable suture group, Thirty-six patients (40 eyes) underwent trabeculectomy. Results The incidence of postoperative shallow anterior chamber was 7.5% (3 eyes) in detachable suture group and 27.5% (11 eyes) in control group (P <0.05). Follow-up to 6 months postoperatively, the successful rates of the two groups were 87.5% and 85%, respectively (P 0. 05), but the intraocular pressure of the detachable suture group was lower than that of the control group .05). Conclusion This technique can control the amount of filtration in the early post-trabeculectomy and significantly reduce the shallow anterior chamber due to excessive filtration, which can control postoperative IOP to a lower level