手术治疗结膜松弛症临床疗效观察  

Observation of the effect of conjunctivochalasis surgery

作　　者：杨雪莉[1] 李才锐[1] 

机构地区：[1]大理学院附属医院眼科,中国云南省大理市671000

出　　处：《国际眼科杂志》2013年第7期1487-1489,共3页International Eye Science

摘　　要：目的:探讨结膜新月形切除术、结膜缝线固定术治疗结膜松弛症的疗效。方法:对27例48眼结膜松弛症患者随机分组,分别应用结膜新月形切除、结膜缝线固定术进行治疗,术后随访观察疗效。从术后患者自觉症状、裂隙灯显微镜观察结膜松弛改善情况及泪河和泪膜破裂时间(BUT)的变化进行观察分析。结果:术后1wk,结膜新月形切除术组有效率为92%,结膜缝线固定术组有效率为88%。术后1mo,结膜新月形切除术组有效率为92%,结膜缝线固定术组有效率为83%。结论:两种手术方法治疗结膜松弛症方法简单,疗效明确。AIM： To discuss the effects of crescent- shaped resection of redundant conjunctiva and conjunctival fixation to the sclera to treat conjunctivochalasis. METHODS： Totally 27 cases （48 eyes） suffering from conjunctivochalasis were treated by using two techniques： crescent- shaped resection of redundant conjunctiva, conjunctival fixation to the sclera. Evaluation of symptom, observation of conjunctivochalasis using slit lamp microscope, tear meniscus, tear break-up time （BUT） were measured after surgery. RESULTS： Follow-up visits were made 1 week after surgery. Improvement was indicated in 92% crescent- shaped resection, in 88% in conjunctival fixation to the sclera. One month after surgery, improvement was indicated in 92% crescent-shaped resection, in 83% in conjunctival fixation to the sclera. CONCLUSION ： The two surgical techniques are effective in treating conjunctivochalasis.

关 键 词：结膜松弛症 结膜新月形切除术 结膜缝线固定术 

分 类 号：R779.6[医药卫生—眼科]