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带蒂球结膜瓣联合治疗翼状胬肉合并球结膜松弛症28例 被引量:1

Study of the Transfer of Pedicled Conjunctival Flap in Treatment of 28 Cases with Pterygium Combined and the Ball Conjunctivochalasis
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摘要 目的:探讨带蒂球结膜瓣联合治疗翼状胬肉合并球结膜松弛症的疗效。方法:对翼状胬肉合并球结膜松弛症患者28例进行胬肉切除和下方带蒂球结膜转瓣术。手术在显微镜下操作,干净彻底清除胬肉组织,在下方球结膜制作平行角巩膜缘4mm×10mm大小、外眦端游离、内眦端带蒂的菲薄结膜瓣,游离端向下须超过胬肉宽度2mm以起拦截作用,移植片与结膜创缘对合间断缝合8~10针。结果:对28例42只眼手术后观察半年,翼状胬肉复发2只眼(复发率4.76%);眼症状改善者35只眼(83.33%);泪河恢复正常者33只眼(78.57%);泪膜破裂时间(BUT)>10s者31只眼(73.81%);裂隙灯显微镜检查眼球与下睑缘、内、外眦部之间无松弛结膜皱褶者3l眼(73.81%);下睑缘位置正常者38眼(90.48%)。结论:带蒂球结膜转瓣治疗翼状胬肉合并球结膜松弛症手术取材容易,操作简便,效果可靠,适合临床开展,是一种简单、易行、疗效好的手术选择。 Objective:To investigate the effect of the transfer of pedicled conjunctival flap to treat pterygium combined with the ball conjunctivochalasis.Methods:Make 28 cases of pterygium and ball conjunctivochalasis patients to do the surgery of pterygium excision and conjunctival pedicle flap transfer.Surgery under the microscope,clean and thoroughly remove the pterygium tissue,beneath conjunctiva make the 4mm×10mm size of the free end of the outer canthus,medial canthus of the meager pedicle conjunctival flap,in parallel to the conjunctival limbal,distal width down to be more than 2mm of pterygium to make the interception effect,interrupted suture the transplant and conjunctival wound edge with 8~10 needle.Results:Observate 42 eyes of 28 patients six months after surgery,pterygium recurrence in 2 eyes(recurrence rate 4.76%),eye symptoms improved in 35 eyes(83.33%),tears River returned to normal in 33 eyes(78.57%),BUT>10 seconds in 31 eyes(73.81%),slit lamp microscope examine the eye between the eyelid,inner and outer canthus have no slack conjunctival folds in 3l eyes(73.81%),normal position under the eyelid 38(90.48%).Conclusion:The transfer of pedicled conjunctival flap to treat pterygium combined with the ball conjunctivochalasis drawn easy operation,convenient operation,the effect is reliable,suitable for clinical development,is a simple,easy,and effective good surgical option.
作者 罗继红 梁娜
出处 《长江大学学报(自然科学版)》 CAS 2011年第5期137-138,5,共2页 Journal of Yangtze University(Natural Science Edition)
关键词 带蒂球结膜瓣 翼状胬肉 球结膜松弛症 手术 Pedicle conjunctival flap Pterygium Ball conjunctivochalasis Operation
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