目的 评价巩膜瓣下双池效应式小梁切除术联合可调整缝线治疗原发性闭角型青光眼的临床疗效及安全性.方法 选取120例原发性闭角型青光眼患者作为研究对象,按照随机分层分组法分为治疗组与对照组,各60例,对照组患者给予传统小梁切除术治疗,治疗组患者给予巩膜瓣下双池效应式小梁切除术联合可调整缝线治疗,均随访12个月,比较两组患者术后1周、术后1月时眼压平均值,术后1年患眼功能性滤泡和非功能性滤泡比率,以及术后早期前房深度情况.结果 两组患者术后1周、术后1个月时眼压平均值比较,无显著差异(P>0.05),术后1年时两组患者眼压均较术后1周时明显增高(P0.05), but it in postoperative 1 year was significantly higher than that of postoperative 1 week (P<0.05), but the amplititude of increased intraocular pressure was obviously lower in treatment group than that of control group (P<0.05).The functional follicular ratio of eyes in patients of treatment group after 1 year was significantly higher than that of patients in control group (P<0.05), and the non-functional follicular proportion was significantly lower than that of control group (P<0.05).3 patients in early postoperative treatment group showed I degree shallow anterior chanmber, the incidence of shallow anterior chamber was 4.2%.Patients in control group with early postoperativeⅠdegree shallow anterior chamber were 11 cases, Ⅱ degrees of shallow anterior chamber in 2 cases, Ⅲ degrees of shallow anterior chamber in 1 case, the incidence of shallow anterior chamber was 20%, and the incidence of shallow anterior chamber in early treatment group was obviously lower than that of control group (P<0.05), with statistically significant difference.Conclusion The efficacy of double pool type trabeculectomy under scleral flap with adjustable suture for treatment of patients with primary angle-closure glaucoma is good, and it has good performance in stable intraocular pressure with high safety, hence it is worthy to be popularized and applied.
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