方法：选取本院收治的78例101眼青光眼患者，将其随机分为观察组和对照组，观察组(39例51眼)在行小梁切除术后行可调节缝线术，对照组(39例50眼)行小梁切除术。

结果：两组术前眼压比较，差异无统计学意义(P>0.05)； 术后6mo，观察组和对照组眼压均较术前显著下降，且观察组眼压均低于对照组，差异均有统计学意义(P<0.05)。术后6mo，观察组仅出现Ⅰ级浅前房1眼，非功能性滤过泡2眼，并发症发生率为5.9%； 对照组浅前房6眼，其中Ⅰ级4眼，Ⅱ和Ⅲ级各1眼； 非功能性滤过泡5眼及巩膜瓣粘连1眼，对照组的并发症发生率为24.0%，明显高于观察组，差异有统计学意义(P<0.01)。

结论：可调节缝线联合小梁切除术治疗青光眼能够显著减少术后并发症，疗效确切，利于临床推广应用。

METHODS: Seventy-eight cases(101 eyes)suffered from glaucoma were randomly divided into two groups, observation group and control group. Thirty-nine cases(51 eyes)in the observation group underwent trabeculectomy with adjustable sutures, the control group(39 cases, 50 eyes)only adopted trabeculectomy.

RESULTS: Compared Preoperative IOP in two groups, the difference was not statistically significant(P>0.05). After 6mo, IOP were decreased compared with preoperative in two groups, and that in observation group was lower than control group, the difference was statistically significant(P<0.05). Six months after operation, there were 1 eye with shallow anterior chamber Ⅰ and 2 eyes with non-functional bleb in observation group, and the complication rate was 5.9%. While there were of 6 eyes with shallow anterior chamber, in which 4 eyes at grade Ⅰ, each one at grade Ⅱ and Ⅲ. Non-functional blebs in 5 eyes and a scleral flap adhesion complications rate in the control group was 24.0%, significantly higher than that in the observation group, the difference was statistically significant(P<0.01).

CONCLUSION: The adjustable sutures combined with trabeculectomy for glaucoma can significantly reduce the postoperative complications. The curative effect is exact and clinically applicable.