逆行剥离法在翼状胬肉切除联合球结膜瓣移植术中的应用

Application of retrograde excision in the operation of pterygium resection combined with conjunctival transplantation

目的:评估逆行剥离法用于翼状胬肉切除联合球结膜瓣移植术的临床效果并总结手术经验。方法:回顾性收集2013年11月至2017年10月于中国人民解放军第474医院眼科中心手术的翼状胬肉切除患者416例(481只眼),均接受逆行剥离法翼状胬肉切除联合球结膜瓣移植术,观察胬肉剥离的连续性和评估角膜创面。结果:胬肉剥离一次性完成的有438只眼(91.06%),分次完成的有43只眼(8.94%);角膜创面光滑的有466只眼(96.88%),胬肉残留的有15只眼(3.12%),无一例角膜基质层剥离损伤。结论:逆行剥离法翼状胬肉切除术是安全有效、简便易行的翼状胬肉手术,可替代顺行剥离法在翼状胬肉手术中的应用。

Objective:To evaluate the clinical efficacy of retrograde excision in the pterygium resection combined with conjunctival transplantation and summarize operation techniques.Methods:This study retrospectively analyzed 416 patients(481 eyes)with pterygium admitted to No.474 Hospital of Chinese People’s Liberation Army from November 2013 to October 2017,who were treated by the retrograde pterygium resection combined with conjunctival transplantation.The degree of corneal injury and the success rate of pterygium disposable stripping were observed.Results:The success rate of pterygium disposable stripping was 91.06%(n=438),the corneal wound was smooth in 466 eyes(96.88%),residual pterygium were observed in 15 eyes(3.12%),and no severe corneal stromal inury was seen.Conclusion:The retrograde excision is better than the anterograde excision in pterygium resection combined with conjunctival transplantation.It is a safe,efficient and simple operation.