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目的探讨可调整缝线小梁切除术联合丝裂霉素治疗青光眼的临床效果。方法 90例青光眼患者,随机分为研究组和对照组,各45例。对照组给予常规小梁切除术治疗,研究组采用可调整缝线小梁切除术联合丝裂霉素治疗,对比两组患者的临床治疗效果。结果两组患者术前、术后出院时眼压相比,差异无统计学意义(P>0.05);术后随访6个月,研究组眼压明显优于对照组,差异具有统计学意义(P<0.05);研究组并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论可调整缝线小梁切除术联合丝裂霉素治疗青光眼临床效果较好,能降低并发症发生率,改善患者眼压,安全性高,值得深入研究和推广。
Objective To investigate the clinical effect of adjustable suture trabeculectomy combined with mitomycin in the treatment of glaucoma. Methods 90 patients with glaucoma were randomly divided into study group and control group, 45 cases each. The control group was given conventional trabeculectomy. The study group was treated with adjustable suture trabeculectomy combined with mitomycin C, and the clinical effects of the two groups were compared. Results There was no significant difference in IOP between the two groups before and after discharge (P> 0.05). After 6 months of follow-up, the IOP in the study group was significantly better than that in the control group (P <0.05) P <0.05). The incidence of complications in the study group was significantly lower than that in the control group (P <0.05). Conclusion Adjustable suture trabeculectomy combined with mitomycin C treatment of glaucoma clinical effect is better, can reduce the incidence of complications and improve intraocular pressure in patients with high safety, it is worth in-depth study and promotion.