CAJ | 학술논문

目的:改进一种翼状胬肉治疗方法.方法:对翼状胬肉患者53例57只眼,其中52只眼为原发,5只眼为复发性胬肉,施行一种新的胬肉切除手术,即结膜延展法,其源自结膜瓣转位法并进行了改进,其实质是拉伸角巩膜缘处的结膜缘并覆盖裸露的巩膜.观察新术式的手术时间、并发症及胬肉的复发情况.结果:所有病例随访了至少5个月,手术时间较常规结膜瓣转位术明显缩短,胬肉复发率低(7%),没有观察到其他并发症.结论:此种新方法简单、有效,复发率低.
목적:개진일충익상노육치료방법.방법:대익상노육환자53례57지안,기중52지안위원발,5지안위복발성노육,시행일충신적노육절제수술,즉결막연전법,기원자결막판전위법병진행료개진,기실질시랍신각공막연처적결막연병복개라로적공막.관찰신술식적수술시간、병발증급노육적복발정황.결과:소유병례수방료지소5개월,수술시간교상규결막판전위술명현축단,노육복발솔저(7%),몰유관찰도기타병발증.결론:차충신방법간단、유효,복발솔저.
Objective To develop an improved operative method of pterygium treatment. Methods A noncomparative interventional case series was carried out. Fifty-seven eyes in 53 subjects with either primary (52 eyes) or recurrent (5 eyes) pterygia were operated on for pterygia using a new surgical method,conjunctival stretching,derived from conjunctival autografting and involving pterygium excision followed by stretching of the adjacent conjunctiva to cover the exposed sclera. Operating time,rate of recurrence,and incidence of complications were measured. Results Follow-up time was at least 5 months. The operating time was shorter than that for conjunctival autografting. The rate of recurrence of pterygia was low (7%),and no other complications were observed. Conclusion This method to cure pterygium is quite simple,effective,and results in a low rate of recurrence.