自体结膜瓣移植治疗翼状胬肉的临床观察  

Clinical analysis of excision of pterygium combined with conjunctival autograft

作　　者：周雅丽[1] 底煜[1] 杨宏伟[1] 杨飏[1] 陈晓隆[1] 

机构地区：[1]中国医科大学盛京医院眼科

出　　处：《国际眼科杂志》2012年第4期784-785,共2页International Eye Science

摘　　要：目的:探讨一种治疗初发性翼状胬肉的新手术方法,寻求防止初发性翼状胬肉术后复发的最佳手术方法。方法:初发性翼状胬肉15例15眼,在手术显微镜下进行手术,彻底切除翼状胬肉组织,同时从上方取半圆形球结膜行自体球结膜移植。术后随访3～12mo。结果:患者15例15眼均治愈,未见胬肉复发。术中术后未见并发症。结论:手术显微镜下行翼状胬肉切除联合自体球结膜移植手术,术后复发率低,是治疗初发性翼状胬肉的一种新的安全有效的方法。AIM：To investigate a new operation method of excision of primary pterygium to prevent pterygium recurring.METHODS：Fifteen cases（15 eyes） of primary pterygium were operated under operating microscope.Pterygium was excised and conjunctival autograft was performed at the same time.Follow-up lasted 3 to 12 months after operation.RESULTS：Fifteen cases（15 eyes） were all cured.There were no recurrence and no complication during the operation and postoperation.CONCLUSION：Excision of pterygium combined with conjunctival autograft under the operating microscope is a new effective method,which can retain the normal anatomic structure of the ocular surface utmostly,lower recurrence rate and cannot influence cataract and glaucoma surgery.

关 键 词：翼状胬肉 显微镜 结膜瓣移植 角膜缘干细胞 

分 类 号：R779.6[医药卫生—眼科]