酒精浸泡剥离法在翼状胬肉手术中的疗效观察
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Observation of the effect of alcohol soaked peeling in pterygium surgery
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    摘要:

    目的:观察酒精浸泡剥离法在翼状胬肉手术中的疗效和临床意义。

    方法:原发翼状胬肉48眼,局部麻醉下将一个环形金属圈置于胬肉头部,其中填充200mL/L酒精,40~60s后,用生理盐水充分冲洗。自胬肉头部缘开始用特制上皮刮匙剥离并清除变性组织,用带角膜缘的自体结膜瓣进行移植。

    结果:术后48眼,随访1wk~1a,手术效果良好,角膜创面光滑,组织结构完整、瘢痕少且散光明显减小。

    结论:酒精浸泡剥离法治疗翼状胬肉是一种安全、有效的方法。

    Abstract:

    AIM: To observe the effect and clinical significance of alcohol soaked peeling during the pterygium surgery.

    METHODS: Totally 48 eyes of primary pterygium, a special metal ring was placed on the head of pterygium under local anesthesia, which filled with 200ml/L alcohol in metal ring, 40-60 seconds later, adequate flushing with saline, then peeled and cleaned up the degenerative organization of pterygium using a special curette, transplanted an autologous conjunctival flap with corneal limbus.

    RESULTS: Follow-up one week to one year, postoperatively 48 eyes had good operative effect, smooth and clean in operation location, complete tissue construction, little scar and less astigmatism than preoperative.

    CONCLUSION: The peeling operation of pterygium aided alcohol soak is a safe, effective method.

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马烈,刘芳,顾丽萍.酒精浸泡剥离法在翼状胬肉手术中的疗效观察.国际眼科杂志, 2012,12(12):2427-2428.

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  • 收稿日期:2012-08-13
  • 最后修改日期:2012-10-31
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