中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
4期
486-488
,共3页
贾惠莉%朱小丽%王媛%刘春民%邓宏伟
賈惠莉%硃小麗%王媛%劉春民%鄧宏偉
가혜리%주소려%왕원%류춘민%산굉위
翼状胬肉%眼外科手术%复发
翼狀胬肉%眼外科手術%複髮
익상노육%안외과수술%복발
Pterygium%Ophthalmologic surgical procedures%Recurrence
目的 探讨翼状胬肉单纯切除法在原发性翼状胬肉中的疗效.方法 原发性翼状胬肉患者38例(42只眼),年龄37~66岁,在手术显微镜下行翼状胬肉单纯切除术,术中要广泛彻底地切除结膜下纤维血管组织,同时要注意角膜创面光滑及术后合理用药.复发为胬肉组织侵入角膜.结果 38例(42只眼)翼状胬肉患者,随访时间6个月至2年,术后2只眼复发,复发率为4.76%.结论 单纯翼状胬肉切除法在重视手术技巧及术中、术后各个环节后,术后复发率明显降低.
目的 探討翼狀胬肉單純切除法在原髮性翼狀胬肉中的療效.方法 原髮性翼狀胬肉患者38例(42隻眼),年齡37~66歲,在手術顯微鏡下行翼狀胬肉單純切除術,術中要廣汎徹底地切除結膜下纖維血管組織,同時要註意角膜創麵光滑及術後閤理用藥.複髮為胬肉組織侵入角膜.結果 38例(42隻眼)翼狀胬肉患者,隨訪時間6箇月至2年,術後2隻眼複髮,複髮率為4.76%.結論 單純翼狀胬肉切除法在重視手術技巧及術中、術後各箇環節後,術後複髮率明顯降低.
목적 탐토익상노육단순절제법재원발성익상노육중적료효.방법 원발성익상노육환자38례(42지안),년령37~66세,재수술현미경하행익상노육단순절제술,술중요엄범철저지절제결막하섬유혈관조직,동시요주의각막창면광활급술후합리용약.복발위노육조직침입각막.결과 38례(42지안)익상노육환자,수방시간6개월지2년,술후2지안복발,복발솔위4.76%.결론 단순익상노육절제법재중시수술기교급술중、술후각개배절후,술후복발솔명현강저.
Objective To evaluate the efficacy of pterygium resection in primary pterygium patients. Methods Forty-two eyes of 38 patients with primary pterygium,aging from 37 to 66 years old were included.The pterygium resection was performed under the surgical microscope.The extensive excision of the fibrovascular tissue was totally removed,while the heads of pterygium was smoothly resected in cornea.Finally the rational drug was emphasized in postoperative period.The recurrence was defined as fibrovascular tissue over the corneoscleral limbus onto clear cornea in the area of previous pterygium excision. Results Thirty-eight patients were followed up for 6-24 months.Pterygium relapsed in 2 eyes and the recurrent rate was 4.76% (2/42). Conclusions The recurrence rate significantly decreases after operation.Surgical technique in pterygium resection should be emphasized in operation and postoperation.