国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
9期
1507-1511
,共5页
张舒%王涛%曹国凡%刘锦
張舒%王濤%曹國凡%劉錦
장서%왕도%조국범%류금
翼状胬肉%小切口%手术切除
翼狀胬肉%小切口%手術切除
익상노육%소절구%수술절제
pterygium%small incision%surgical removal
目的：研究小切口改良翼状胬肉手术较传统手术方式的优势。方法：将40例原发翼状胬肉病例按手术方式分为2组(每组20例)：第一组为小切口组,手术先在翼状胬肉体部切一小口,经其分离结膜与结膜下的变性筋膜组织；而第二组则先用刀片将翼状胬肉头部从角膜分离,然后再分离结膜与结膜下的变性筋膜组织。第一组分离翼状胬肉头部时采用类似角膜瓣成型的方法,用镊子钝性分离而不是用刀片。分别观察两组的手术时间、疼痛程度和创面愈合,进行比较。<br> 结果：第一组平均手术时间较第二组缩短了7.72 min (48.9%,P<0.001)。手术后1,2d第一组的疼痛程度和创面愈合均好于第二组(P<0.001)。另外,第一组的手术可由一名医生完成,而第二组则由两名医生完成。<br> 结论：小切口翼状胬肉手术较传统手术方式更容易操作,效果更好。
目的：研究小切口改良翼狀胬肉手術較傳統手術方式的優勢。方法：將40例原髮翼狀胬肉病例按手術方式分為2組(每組20例)：第一組為小切口組,手術先在翼狀胬肉體部切一小口,經其分離結膜與結膜下的變性觔膜組織；而第二組則先用刀片將翼狀胬肉頭部從角膜分離,然後再分離結膜與結膜下的變性觔膜組織。第一組分離翼狀胬肉頭部時採用類似角膜瓣成型的方法,用鑷子鈍性分離而不是用刀片。分彆觀察兩組的手術時間、疼痛程度和創麵愈閤,進行比較。<br> 結果：第一組平均手術時間較第二組縮短瞭7.72 min (48.9%,P<0.001)。手術後1,2d第一組的疼痛程度和創麵愈閤均好于第二組(P<0.001)。另外,第一組的手術可由一名醫生完成,而第二組則由兩名醫生完成。<br> 結論：小切口翼狀胬肉手術較傳統手術方式更容易操作,效果更好。
목적：연구소절구개량익상노육수술교전통수술방식적우세。방법：장40례원발익상노육병례안수술방식분위2조(매조20례)：제일조위소절구조,수술선재익상노육체부절일소구,경기분리결막여결막하적변성근막조직；이제이조칙선용도편장익상노육두부종각막분리,연후재분리결막여결막하적변성근막조직。제일조분리익상노육두부시채용유사각막판성형적방법,용섭자둔성분리이불시용도편。분별관찰량조적수술시간、동통정도화창면유합,진행비교。<br> 결과：제일조평균수술시간교제이조축단료7.72 min (48.9%,P<0.001)。수술후1,2d제일조적동통정도화창면유합균호우제이조(P<0.001)。령외,제일조적수술가유일명의생완성,이제이조칙유량명의생완성。<br> 결론：소절구익상노육수술교전통수술방식경용역조작,효과경호。
AIM:To verify the advantages of an improved protocol for pterygium surgery ( small incision removal ) over a conventional protocol of this surgery.METHODS: Totally 40 primary pterygium cases were divided into two groups ( n=20 each ) according to the protocols: small incision removal versus conventional removal. In our small incision removal, group 1, the pterygium body was cut open with a small incision firstly, through which the conjunctiva was separated from the underlying degenerated Tenon's layer; while in the conventional protocol, group 2, the whole head of pterygium was taken down before the separation. Then the head of pterygium was torn down in our protocol using a forceps instead of cutting it down with a blade, which was facilitated by a special corneal epithelial flap formation method. Surgery time, pain score and corneal wound healing were measured to provide objective comparison of outcome between the two protocols. <br> RESULTS: In the group using small incision removal, the average surgery time was 7. 72min (or 48. 9%) shorter than that of the control group using conventional protocol (P<0. 001). The pain score was lower and the corneal wound was healed better in day 1 and 2 after the surgery in the small incision group (P<0. 001). In addition, the surgery can be done by one surgeon using the small incision protocol, while the surgery using the conventional protocol requires two persons. <br> CONCLUSION: The small incision pterygium removal protocol was easier to perform and resulted in a better outcome than the conventional protocol.
