翼状胬肉逆行切除加羊膜移植的临床研究  

Clinical study of retrograding excision of ptery-gium with amniotic membrane transplantation

作　　者：李淑珍[1] 

机构地区：[1]河南省商丘市第一人民医院眼科,476100

出　　处：《眼科新进展》2000年第4期286-287,共2页Recent Advances in Ophthalmology

摘　　要：目的　观察胬肉逆行切除加羊膜移植术防止翼状胬肉复发的疗效。方法　沿胬肉体两侧分别剪开球结膜 ,钝性分离球结膜与其下的增生组织 ,于胬肉体部剪断已分离的球结膜 ,并向泪阜侧掀开 ,将增生的胬肉组织充分暴露 ,再将胬肉与巩膜进行分离 ,于半月皱襞处剪断胬肉根部 ,然后逆行将胬肉头部自角膜上分离下来 ,将羊膜移植于巩膜裸露区。结果　 31例翼状胬肉患者随访 6～ 18mo,仅 1例复发。Objective To observe the effect of retrograding excision of pterygium with amniotic membrane transplantation on the prevention of pterygium relapse. Methods Conjunctival incisions were made along both sides of pterygium body. The conjunctiva was then seperated from the underlying pterygium tissue and cut at the site of pterygium body. lt was further seperated from the underlying pterygium tissue toward the caruncle so that the pterygium tissue could be exposed, which was seperated from the sclera and then was excised at the site of the plica semilunaris and seperated from the cornea retrogradingly. The exposed sclera was then covered by transplanted amniotic membrane.Results After 6～18 months of follow up,only one in 31 cases of pterygium relapsed.Conclusion Retrograding excision of pterygium with amniotic membrane transplantation can significantly decrease the relapse of pterygium.

关 键 词：翼状胬肉 逆行切除 羊膜移植 

分 类 号：R777.330.5[医药卫生—眼科]