角膜绷带镜联合埋线缝合在翼状胬肉手术中的应用效果  

Application effect of corneal bandage lens combined with buried suture in pterygium surgery

作　　者：陈璐 余梦佳 方忠杰 刘娟 覃苏帧 荀红 CHEN Lu;YU Mengjia;FANG Zhongjie;LIU Juan;QIN Suzhen;XUN Hong(Department of Ophthalmology,ShangRao People's Hospital,Jiangxi Province,Shangrao334000,China)

机构地区：[1]江西省上饶市人民医院眼科,江西上饶334000

出　　处：《中国当代医药》2025年第6期50-54,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202312286)。

摘　　要：目的探讨角膜绷带镜联合埋线缝合在翼状胬肉手术中的应用效果。方法回顾性分析2021年12月至2023年12月江西省上饶市人民医院眼科收治的60例翼状胬肉患者的临床资料,根据术后眼表修复方案不同分为对照组(n=30,30只眼)和观察组(n=30,30只眼),对照组予角膜绷带镜联合间断缝合,观察组予角膜绷带镜联合埋线缝合。比较两组患者手术前后各时间点(术前与术后1周、2周、1个月、3个月)的干眼主观症状(SDES)评分、基础泪液分泌试验(SⅠt)、泪膜破裂时间(BUT)、角膜荧光染色(FL),并判断两组患者的临床疗效。结果术后1周、2周、1个月、3个月,两组患者的SDES、FL评分均低于本组术前,SⅠt、BUT均长于本组术前,差异有统计学意义(P<0.05)。术后1周、2周、1个月、3个月,观察组的SDES、FL评分均低于对照组,SⅠt、BUT均长于对照组,差异有统计学意义(P<0.05)。两组患者的临床总有效率比较,差异无统计学意义(P>0.05)。结论翼状胬肉手术患者采用角膜绷带镜联合埋线缝合相比角膜绷带镜联合间断缝合可更快缓解患者术后不适症状,提高泪膜稳定性,改善角膜上皮荧光染色情况,但二者眼表修复效果相当。Objective To investigate the application effect of corneal bandage lens combined with buried suture in pterygium surgery.Methods The clinical data of 60 patients with pterygium who were admitted to Department of Ophthalmology,ShangRao People's Hospital from December 2021 to December 2023 were retrospectively analyzed.The patients were divided into control group(n=30,30 eyes)and observation group(n=30,30 eyes)according to different postoperative ocular surface repair plans.The control group received corneal bandage lens combined with interrupted suture,while the observation group received corneal bandage lens combined with buried suture.The subjective dry eye symptoms(SDES),SchirmerⅠtest(SⅠt)results,tear film break-up time(BUT)and corneal fluorescence staining(FL)were compared between the two groups before and after surgery(before surgery and 1 week,2 weeks,1 month and 3 months after surgery),and the clinical efficacy of the two groups was evaluated.Results At 1 week,2 weeks,1 month and 3 months after operation,the SDES and FL scores of the two groups were lower than those before operation,and the SⅠt and BUT were longer than those before operation,and the differences were statistically significant(P<0.05).At 1 week,2 weeks,1 month and 3 months after operation,the SDES and FL scores of the observation group were lower than those of the control group,and the SⅠt and BUT were longer than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total clinical effective rate between the two groups(P>0.05).Conclusion Patients undergoing pterygium surgery can experience faster relief of postoperative discomfort,improvement of tear film stability,and improvement of corneal epithelial fluorescence staining when using corneal bandage mirror combined with buried suture compared to corneal bandage mirror combined with intermittent suture.However,the repair effect of the two methods on the ocular surface is comparable.

关 键 词：翼状胬肉 角膜绷带镜 埋线缝合 基础泪液分泌试验 泪膜破裂时间 角膜荧光染色 

分 类 号：R777.33[医药卫生—眼科]