Babushkin A E
Vestn Oftalmol. 1992 Jul-Dec;108(4-6):7-9.
The author analyzes 60 trabeculectomies with fixation of the superficial scleral flap by three nodular sutures (n = 24) and by one nodular suture (n = 36). He comes to the conclusion that trabeculectomy with scleral flap fixation by one nodular suture is preferable to its fixation with three sutures, for it creates better conditions for the formation of filtration pad and provides a more stable hypotensive effect, as evidenced by the results of three-year follow-up (75% vs. 41.6%). Nonetheless the author claims that fixation of the scleral flap with 3-4 sutures is desirable in cases when filtering trabeculectomy variants are deliberately employed or when trabeculectomy modifications with uveoscleral discharge stimulation are used.
作者分析了60例小梁切除术，其中24例采用三条结节缝线固定浅层巩膜瓣，36例采用一条结节缝线固定浅层巩膜瓣。他得出的结论是，采用一条结节缝线固定巩膜瓣的小梁切除术优于采用三条缝线固定，因为它为滤过垫的形成创造了更好的条件，并提供了更稳定的降压效果，三年随访结果证明了这一点（75%对41.6%）。尽管如此，作者声称，在故意采用滤过性小梁切除术变体或采用刺激葡萄膜巩膜引流的小梁切除术改良方法时，采用3 - 4条缝线固定巩膜瓣是可取的。
