小切口改良翼状胬肉手术的优势（英文）  

A small incision technique facilitates pterygium removal

作　　者：张舒[1] 王涛[2] 曹国凡[1] 刘锦[3] 

机构地区：[1]南京医科大学附属眼科医院,中国江苏省南京市210029 [2]江宁区汤山街道社区卫生服务中心眼耳鼻喉科,中国江苏省南京市211131 [3]南京医科大学第二附属医院眼科,中国江苏省南京市210011

出　　处：《国际眼科杂志》2015年第9期1507-1511,共5页International Eye Science

摘　　要：目的:研究小切口改良翼状胬肉手术较传统手术方式的优势。方法:将40例原发翼状胬肉病例按手术方式分为2组(每组20例):第一组为小切口组,手术先在翼状胬肉体部切一小口,经其分离结膜与结膜下的变性筋膜组织;而第二组则先用刀片将翼状胬肉头部从角膜分离,然后再分离结膜与结膜下的变性筋膜组织。第一组分离翼状胬肉头部时采用类似角膜瓣成型的方法,用镊子钝性分离而不是用刀片。分别观察两组的手术时间、疼痛程度和创面愈合,进行比较。结果:第一组平均手术时间较第二组缩短了7.72min(48.9%,P<0.001)。手术后1,2d第一组的疼痛程度和创面愈合均好于第二组(P<0.001)。另外,第一组的手术可由一名医生完成,而第二组则由两名医生完成。结论:小切口翼状胬肉手术较传统手术方式更容易操作,效果更好。AIM： To verify the advantages of an improved protocol for pterygium surgery （small incision removal） over a conventional protocol of this surgery. METHODS： Totally 40 primary pterygium cases were divided into two groups （n = 20 each） according to the protocols： small incision removal versus conventional removal. In our small incision removal, group 1, the pterygium body was cut open with a small incision firstly, through which the conjunctiva was separated from the underlying degenerated Tenon＇s layer; while in the conventional protocol, group 2, the whole head of pterygium was taken down before the separation. Then the head of pterygium was torn down in our protocol using a forceps instead of cutting it down with a blade, which was facilitated by a special corneal epithelial flap formation method. Surgery time, pain score and corneal wound healing were measured to provide objective comparison of outcome between the two protocols. RESULTS： In the group using small incision removal, the average surgery time was 7.72min （ or 48.9% ） shorter than that of the control group using conventional protocol （P〈0. 001 ）. The pain score was lower and the corneal wound was healed better in day 1 and 2 after the surgery in the small incision group （P〈0. 001）. In addition, the surgery can be done by one surgeon using the small incision protocol, while the surgery using the conventional protocol requires two persons. CONCLUSION： The small incision pterygium removal protocol was easier to perform and resulted in a better outcome than the conventional protocol.

关 键 词：翼状胬肉 小切口 手术切除 

分 类 号：R779.6[医药卫生—眼科]