CAJ | 학술논문

目的：对比分析翼状胬肉切除法与撕除法术后24 h疼痛评分的差别。 　　方法：选择翼状胬肉患者160例160眼，随机分为切除组80例80眼和撕除组80例80眼。术后24 h疼痛分级，评价两组术后疼痛差别。 　　结果：撕除组80眼，术后疼痛评分为0级，1级，2级，3级分别为4眼，45眼，23眼，8眼；切除组80眼，术后疼痛评分为0级，1级，2级，3级分别为1眼，30眼，33眼和16眼。两组差异有统计学意义（Z＝-2．995，P＝0．03）。 　　结论：撕除法的术后疼痛程度显著低于切除法，撕除法在处理翼状胬肉头部组织中有独特的优势。
목적：대비분석익상노육절제법여시제법술후24 h동통평분적차별。 　　방법：선택익상노육환자160례160안，수궤분위절제조80례80안화시제조80례80안。술후24 h동통분급，평개량조술후동통차별。 　　결과：시제조80안，술후동통평분위0급，1급，2급，3급분별위4안，45안，23안，8안；절제조80안，술후동통평분위0급，1급，2급，3급분별위1안，30안，33안화16안。량조차이유통계학의의（Z＝-2．995，P＝0．03）。 　　결론：시제법적술후동통정도현저저우절제법，시제법재처리익상노육두부조직중유독특적우세。
AIM:To compare the pain after pterygium surgery with retrograde rip method and excision method. METHODS:Totally, 160 pterygium patients (160 eyes) accepted surgery: 80 cases ( 80 eyes ) underwent retrograde rip method and 80 cases (80 eyes) underwent excision method.The pain experience was graded 24h after the operation, difference of which between two groups was evaluated. RESULTS: The number of cases suffering 0, 1, 2, 3 degree of pain was 4, 45, 23, 8 in retrograde rip group and 1, 30, 33, 16 in excision group respectively, with differences of statistical significance among them ( Z=-2.995, P=0.03). CONCLUSION: The pain degree experienced in retrograde rip method is lower than that in traditional excision method. Retrograde rip method has unique advantage in treating pterygium in cephalosome tissue.