CAJ | 학술논문

目的：探讨一种改良的翼状胬肉切除术的疗效，以提高手术质量。 　　方法：首先从角膜缘处将胬肉从颈部剪断，再用刀尖从胬肉头部边缘外0．5 mm处掀开胬肉头部，然后将胬肉从头部向颈部，即沿其生长反方向撕扯，遇到粘连较重处，用刀尖（可为15°刀、尖刀片、钻石刀等）在角膜的切线方向上平推，以辅助撕剥，剪除结膜下方的胬肉组织，从同一眼颞上方取一与暴露巩膜面等大的结膜瓣，间断缝合固定于浅层巩膜上。 　　结果：该法共实施于660眼，术后随访3mo，仅8眼复发，且手术时间、角膜上皮的愈合时间明显短于其他方法，角膜的光滑度和透明度、结膜的平整度均优于其他方法，恢复时间也明显缩短。 　　结论：逆向撕剥、结膜移植、巩膜强化固定法治疗翼状胬肉的疗效明显优于传统的单纯切除法。
목적：탐토일충개량적익상노육절제술적료효，이제고수술질량。 　　방법：수선종각막연처장노육종경부전단，재용도첨종노육두부변연외0．5 mm처흔개노육두부，연후장노육종두부향경부，즉연기생장반방향시차，우도점련교중처，용도첨（가위15°도、첨도편、찬석도등）재각막적절선방향상평추，이보조시박，전제결막하방적노육조직，종동일안섭상방취일여폭로공막면등대적결막판，간단봉합고정우천층공막상。 　　결과：해법공실시우660안，술후수방3mo，부8안복발，차수술시간、각막상피적유합시간명현단우기타방법，각막적광활도화투명도、결막적평정도균우우기타방법，회복시간야명현축단。 　　결론：역향시박、결막이식、공막강화고정법치료익상노육적료효명현우우전통적단순절제법。
?AIM:To introduce a modified pterygium excision, so as to improve the operation quality. ?METHODS:To cut the neck of the pterygiumat at limbus, then tear pterygiumat from opposite direction of head on the basis of the original excision. When resistance occurs, point of a knife ( 15°knife, pointed blade or diamond knife) was employed for cutting on the direction of tangent to cornea. In the process, the operation gave priority to tearing and was supplemented by cutting. A conjunctival flap was taken from the superior temporal and same size as the cut area. Conjunctival transplantation should be firmly stitched on the sclera. ?RESULTS:The implementation was taken on 660 eyes. There were only 8 eyes relapsed, and the smoothness and transparency of cornea was superior to the conventional method. Recovery time was shortened obviously. ?CONCLUSION:The modified method of reversal tear-cutting, conjunctival autograft and sclera reinforcement fixation is more effective than the conventional transplantation for treating pterygiumat.