摘要
目的探讨宽大翼状胬肉的手术方法。方法 42例（46眼）颈部宽≥5 mm初发翼状胬肉,在手术显微镜下彻底切除后,上下各制作一个宽4~5 mm,长5~8 mm带角膜缘干细胞的有蒂结膜瓣,对位缝合并固定于浅层巩膜。术后随访12~30个月,平均（17.5±2.6）个月。结果 46眼均治愈,未见胬肉复发。结论手术显微镜下翼状胬肉切除联合双带蒂结膜移植,术后复发率低,并发症少。
Objective To discuss a new method for the surgery of wide-based pterygium. Methods There were 42 cases（46 eyes） of primary pterygium with the width of its neck not less than 5 mm.The pterygium was removed under microscope.Then two pedicle conjunctival flaps with limbal stem cells were done from each side. Each flap all were 4 to 5 milimeter in width and 5 to 8 milimeter in longth,they were sutured and fixed on the sclera.The following-up time was 12-30 months,meanly 17.5 months. Results All of the 42 cases（46 eyes） were healed.No recurrence occurred. Conclusion Surgery of removing pterygium excision under microscope combined with double pedicle conjunctival flap transplantation is a safe and effective method for pterygium,with low recurrence rate and less complications.
出处
《眼外伤职业眼病杂志》
2010年第12期927-929,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
翼状胬肉
手术
双有蒂结膜瓣
pterygium
surgery
double pedicle conjunctival flap
