方法：选取我院2013-05/2015-05收治的青光眼患者58例64眼，依据随机数字表法将这些患者分为复合式小梁切除术组(复合式组，28例32眼)和传统小梁切除术组(传统组，30例32眼)两组，对两组患者的术后浅前房发生率、手术成功率及功能性滤过泡形成率、并发症发生率进行统计分析。

结果：复合式组患者的术后浅前房发生率6%(2/32)显著低于传统组22%(7/32)，差异有统计学意义(P<0.05)。复合式组术后眼压显著低于传统组，差异有统计学意义(P<0.05)。复合式组手术成功率88%(28/32)显著高于传统组44%(14/32)，差异有统计学意义(P<0.05)。复合式组功能性滤过泡形成率91%(29/32)显著高于传统组69%(22/32)，差异有统计学意义(P<0.05)。复合式组术后并发症发生率9%(3/32)显著低于传统组25%(8/32)，差异有统计学意义(P<0.05)。

结论：复合式小梁切除术较传统小梁切除术更能有效降低青光眼患者的术后浅前房发生率，提高患者的手术成功率及功能性滤过泡形成率，并降低患者的并发症发生率，安全有效。

METHODS:Totally 58 patients(64 eyes)with glaucoma who were treated in our hospital from May 2013 to May 2015 were selected. These patients were divided into composite trabeculectomy group(composite group, 28 patients with 32 eyes)and traditional trabeculectomy group(conventional group, 30 patients with 32 eyes)based on a random number table, the incidence of postoperative shallow anterior chamber, success rates and functional bleb formation rates, incidences of concurrent disease of the two groups were statistically analyzed.

RESULTS:The incidence of postoperative anterior chamber of the composite group(6%, 2/32)was significantly lower than that of the conventional group(22%, 7/32; P<0.05). The intraocular pressure(IOP)was significantly lower than that of the conventional group(P<0.05). The success rate of the composite group(88%, 28/32)was significantly higher than that of the conventional group(44%, 14/32)(P<0.05). The functional bleb formation rate of the composite group(91%, 29/32)was significantly higher than that of the conventional group(69%, 22/32, P<0.05). The postoperative complication rate of the composite group(9%, 3/32)was significantly lower than that of the conventional group(25%, 8/32, P<0.05).

CONCLUSION:Composite trabeculectomy can more effectively reduce the incidence of postoperative shallow anterior chamber, and improve the success rate of functional bleb formation and reduce the complications rate in glaucoma patients than traditional trabeculectomy, it is safe and effective.