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目的 观察分离术联合应用丝裂霉素C治疗小梁切除术后无功能滤过泡的临床疗效。方法 小梁切除术后无功能滤过泡患者 2 9例 (2 9眼 ) ,在显微镜下用 5号针头潜行分离滤过泡 ,在滤过泡旁结膜下注射丝裂霉素C 0 1ml(0 .2mg/ml) ,观察眼压及滤过泡情况 ,随访 4月。结果 2 9例成功 2 1例 (72 4% ) ,有效 5例 (17 2 % ) ,无效 3例 (10 3 % ) ;Ⅰ型滤过泡 18例 (62 1% ) ,Ⅱ型滤过泡 8例 (2 7 6% ) ,Ⅲ型滤过泡 3例 (10 3 % )。结论 分离术联合应用丝裂霉素C可以有效修复无功能滤过泡。
Objective To observe the clinical effect of separation and combined application of mitomycin C in the treatment of nonfunctional blebs after trabeculectomy. Methods Twenty-nine patients (29 eyes) with non-functional bleb after trabeculectomy were sneaked through a 5-gauge needle under a microscope to separate the bleb. Submucosal injection of mitomycin C 0 1ml 0 .2mg / ml), observed intraocular pressure and filtration bleb conditions, follow-up in April. Results 29 cases were successful in 21 cases (72.4%), 5 cases (17.2%) were effective, 3 cases (103%) were ineffective; type I filter bleb in 18 cases (62.1% 8 cases (276%), type Ⅲ filtration bleb in 3 cases (103%). Conclusion Separation combined with mitomycin C can effectively repair nonfunctional filtration bleb.