小梁切除术中巩膜瓣不同缝合法联合丝裂霉素C的临床观察

Clinical Observation of Different Suture Methods of Scleral Flap in Trabeculectomy Combined with Mitomycin C

摘要: 目的：探讨小梁切除术中巩膜瓣不同缝合法联合丝裂霉素C的临床应用及术后疗效观察。方法：回顾性分析我院2015年11月~2016年11月收诊的46例(46眼)，随机将其分为传统的小梁切除术联合丝裂霉素C (对照组)和巩膜瓣可调节缝线的小梁切除术联合丝裂霉素C (观察组)，各23例，对其术后效果进行比较分析。结果：术后浅前房的发生观察组明显低于对照组，术后眼压和术后滤过泡的形态，观察组和对照组没有差异。结论：可调节缝线小梁切除术联合丝裂霉素C只可以减少术后早期浅前房的发生，传统的小梁切除术中只要使用丝裂霉素C就可以取得很好的远期临床疗效，取得很高的远期手术成功率，所以完全没有必要在术中用可调节缝线缝合巩膜瓣。

Abstract: Objective: To observe the clinical application and curative effect of trabeculectomy with different suture methods for scleral flap combined with mitomycin C. Methods: We analyze 46 cases (46 eyes) received by our hospital from November 2015 to November 2016 retrospectively. These cases were randomly divided into two groups: traditional trabecular resection combined with mitomycin C (control group) and trabeculectomy with adjustable sutures for scleral flap combined with mitomycin C (observation group), 23 cases each. The postoperative effect of the two groups was compared and analyzed. Results: The incidence of shallow anterior chamber after operation was significantly lower than that in control group; for intraocular pressure and the shape of filtering bleb after operation, there was no difference between the two groups. Conclusion: Trabeculectomy with adjustable sutures combined with mitomycin C can only reduce the incidence of early postoperative shallow anterior chamber, while traditional trabeculectomy can obtain a good clinical effect and a high success rate for a long term as long as the use of mitomycin C, so there is no need to use adjustable suture to suture scleral flap in the operation.