摘要
目的 观察胬肉逆行切除加羊膜移植术防止翼状胬肉复发的疗效.方法 将54例（65眼）翼状胬肉沿胬肉体两侧分别剪开球结膜,钝性分离球结膜与其下的增生组织,于胬肉体部剪断已分离的球结膜,并向泪阜侧掀开,将增生的胬肉组织充分暴露,再将胬肉与巩膜进行分离;于半月皱襞处剪断胬肉根部,然后逆行将胬肉头部自角膜上分离下来,将羊膜移植于巩膜裸露区.结果 65眼随访6～18个月,12眼复发,复发率为18.5%.结论 翼状胬肉逆行切除加羊膜移植术可有效降低翼状胬肉的术后复发率.
Objective To observe the effect of retrograding excision of pterygium with amniotic membrane transplantation on the prevention of pterygium relapse. Methods Conjunctival incisions were made along both sides of pterygium body. The conjunctiva was then seperated from the underlying peterygium tissue and cut at the site of pterygium body. It was further seperated from the underlying pterygium tissue toward the caruncle so that the peteygium tissue could be exposed,which was seperated from the sclera and then was excised at the sit of the plica semilunaris and seperated from the cornea retrogradingly. The exposed sclera was then covered by transplanted amniotc membrane. Results After 6-18 months of follow-up,12 eyes in 65 eyes of pterygium relapsed. Conclusion Retrograding excision of pterygium with amniotic membrane transplantation could significantly decrease the relapse of pterygium.
出处
《中国基层医药》
CAS
2010年第13期1742-1743,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
翼状胬肉
羊膜
组织移植
Pterygium
Amnion
Tissue transplantation
