单纯翼状胬肉切除术的细节改良(附56例病例报告)  

Primary Results for Modified Pterygium Resection in 56 Primary Pterygium Patients

作　　者：刘海霞[1] 邹尉玉[1] 张晓农[1] 赵长松[1] 罗爱珍[1] 张虹[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院眼科,武汉430030

出　　处：《华中科技大学学报（医学版）》2008年第4期523-525,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的对单纯翼状胬肉切除术进行一些细节上的改良,观察其治疗原发性翼状胬肉的疗效,探讨治疗原发性翼状胬肉的临床实用手术技巧。方法原发性翼状胬肉患者56例（74眼）,年龄52-78岁。手术由同一人进行,均在显微镜下行单纯翼状胬肉切除术,并在手术细节上加以改良,包括：利多卡因2次注入法进行结膜下浸润麻醉,以利菲薄的结膜上皮层与其下方组织水分离;分离胬肉体部结膜上皮下组织,在和泪阜的交界处剪断;逆向提撕的方法清除胬肉头部;保留胬肉体部结膜上皮,“V”形对缝覆盖巩膜裸区等。术后定期随访观察疗效。结果翼状胬肉74眼,随访时间6个月-2年,术后随访中3眼复发,复发率为4%。结论熟悉胬肉的解剖结构,注重细节处理,单纯翼状胬肉切除术治疗原发性翼状胬肉同样能获得良好疗效。Objective To investigate the efficacy of modified pterygium resection in special details in primary pterygium patients. Methods Fifty-six patients with primary pterygium （totally 74 eyes）, aging from 52 to 78 years old, were recruited. Operations were performed by the same ophthalmologists. Pterygium was resected under a microscope by pterygium resection with modifications in special details. Firstly, lidocaine was subconjunctivally administered twice to achieve infiltration anesthesia, which was also helpful to separate the thin conjunctiva epithelia layer from the subepithelial tissues. Then, the subepithelial tissues of pterygium bodies were isolated and cut at the edge bordering with the nasal caruncle. Thirdly, heads of pterygium were torn reversely. Finally, epithelia layer superior to pterygium was kept and sutured together like ＂V＂ to cover the bared sclera. After resection, all patients were followed up for 6-24 months. Results Among all patients, no complication was observed. There was recurrent disease in 3 eyes, and the recurrent rate was 4%. Conclusion High efficacy can be achieved in primary pterygium patients undertaking the traditional operation pattern with modifications in special details.

关 键 词：翼状胬肉 眼外科手术 

分 类 号：R777.33[医药卫生—眼科]