改良式翼状胬肉自体结膜移植手术128眼的临床体会  

Clinical experience of modified pterygium autoconjunctival transplantation in 128 eyes

作　　者：张彩玲 张水江 ZHANG Cailing;ZHANG Shujiang(Department of Ophthalmology,Longyan Renmin Hospital,longyan,FuJian 364100,China)

机构地区：[1]龙岩人民医院,福建龙岩364100

出　　处：《实用防盲技术》2024年第1期34-35,38,共3页Journal of Practical Preventing Blind

摘　　要：目的探究“活结式”缝合应用于翼状胬肉切除联合自体结膜移植手术之临床体会。方法收集我院从2017年5月到2019年5月收住院的翼状胬肉患者98例128眼的手术资料,对将“活结式”缝合应用于翼状胬肉切除联合自体角膜缘结膜移植手术中治疗翼状胬肉的临床疗效进行回顾性的临床分析。结果对翼状胬肉术后患者进行跟踪、随访3~12个月,86例(114眼)患者的结膜创面以及角膜创面均修复良好,手术后复发患者有5例5眼,复发率为5.1%。结论将“活结式”缝合应用于翼状胬肉切除联合自体角膜缘结膜移植治疗翼状胬肉,具有“手术易操作,拆线简单,患者无明显异物感”的优点,可在临床上推广并且使用。Objective To explore the clinical experience of pterygium excision combined with autoconjunctival transplantation with"slip-knot"suture.Methods The surgical data of 98 patients(128 eyes)with pterygium admitted in our hospital from May 2017 to May 2019 were collected.The clinical efficacy of applying suturing with"a loose knot"for pterygium excision combined with autologous limbal conjunctival transplantation in the treatment of pterygium was retrospectively analyzed.Result After the pterygium surgery,the patients were followed up for 3-12 months,and the conjunctival wounds and corneal wounds in most of the patients were repaired well.There were 5 cases and 5 eyes with recurrence after surgery.Conclusion The application of"slip-knot"suture in pterygium excision combined with autologous limbal conjunctival transplantation for pterygium has the advantages of"Simple suture,small suture knot,simple suture removal,and significantly reduce foreign body sensation",which can be popularized and used in clinical practice.

关 键 词：“活结式”缝合 自体结膜移植 翼状胬肉 

分 类 号：R779.6[医药卫生—眼科]