翼状胬肉围手术期细节处理的效果观察
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韶关市医药卫生科研计划项目(No.Y12156)


Observation on the effect of perioperative detail treatment of pterygium
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Medical Scientific Research Project of Shaoguan(No.Y12156)

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    摘要:

    目的:通过注意加强翼状胬肉围手术期细节处理,进行临床效果观察。

    方法:选取2012-09/2014-01在我院眼科收治的初发翼状胬肉患者60例100眼,在手术显微镜下行改良翼状胬肉切除加自体带角膜缘上皮的结膜瓣移植术。观察角膜创面愈合、植片生长及翼状胬肉复发情况。

    结果:患者球结膜移植瓣全部成活,角膜创面愈合好。随访7mo~1a。有3眼(3%)复发,并无严重并发症发生。

    结论:在翼状胬肉切除加自体带角膜缘上皮的结膜瓣移植术中,通过规范并加强围手术期的细节处理,可显著提高临床效果。

    Abstract:

    AIM: To observe the effect of perioperative detail treatment of pterygium.

    METHODS:Sixty cases(100 eyes)of pterygium patients were collected from Sep.2012 to Jan.2014. All cases were performed modified pterygium excision with limbal epithelial autograft transplantion under microscope. Corneal wound healing, graft survival, and the recurrence of pterygium were observed.

    RESULTS:All cases of conjunctival flap survive, corneal wound closed well. The patients were followed up for 7 to 12mo. Among them, 3 eyes recurred and the recurrence rate was 3%. There were no serious complications.

    CONCLUSION:In the operation of pterygium excision with limbal epithelial autograft transplantion, standard and detail treatment can significantly improve the clinical effect.

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李石磊,力强,董丽华.翼状胬肉围手术期细节处理的效果观察.国际眼科杂志, 2016,16(11):2160-2161.

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  • 收稿日期:2016-06-24
  • 最后修改日期:2016-10-09
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  • 在线发布日期: 2016-10-25
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