摘要
目的：探讨一种治疗初发性翼状胬肉的新的手术方法，防止初发性翼状胬肉术后复发的最佳手术方法。方法：24例（24眼）初发性翼状胬肉，在手术显微镜下进行手术，保留翼状胬肉表面的球结膜及巩膜表面的Tenon’s囊，在自然解剖状态下彻底分离切除球结膜下的翼状胬肉组织，同时行羊膜移植。术后随访14-35个月，平均（17.21±3.45）月。结果：24例（24眼）均治愈，均无复发。术中术后未见并发症。结论：手术显微镜下行保留Tenon’s囊的翼状胬肉切除联合球结膜下羊膜移植具有手术损伤小，最大限度保留了正常眼表面的解剖结构，术后复发率低，不影响白内障、青光眼的手术的优势，是治疗初发性翼状胬肉的一种新的有效方法。
Objective：To investigate a new operation method of the excision of primary pterygium to pre- vent pterygium recurring. Methods： Twenty - four cases （twenty - four eyes） of primary pterygium were performed by operating microscope. The Tenon＇ s eyst on the surface of pterygium was remained. However, the pterygium was separated thoroughly and excised and amniotic membrane transplantation was performed at the same time. Followed up 14 to 35 months, average 17.21-3.45 months. Results： Twenty -four cases （twenty - four eyes） are all cured. There was no recurrence and no complication during the operation and postoperation. Conclusions： Excision of pterygium remaining the Tenon＇ s cyst combined with the amniotic membrane transplantation under the operating microscope is a new effective method, which can remain the normal anatomic structure of the ocular surface utmost, lower recurrence rate and cannot influence cataract and glaucoma surgery.
出处
《河北医学》
CAS
2008年第6期679-682,共4页
Hebei Medicine
关键词
翼状胬肉
Tenon’s囊
手
术
羊膜移植
Pterygium
Tenon＇s cyst
Operation
Amniotic membrane transplantation
