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目的:研究钝性翼状胬肉剥离联合带蒂结膜瓣移植术治疗翼状胬肉临床效果。方法:在手术显微镜下用虹膜恢复器钝性剥离胬肉头部,干净彻底切除胬肉组织,在上方球结膜制作3×10 mm带蒂菲薄结膜瓣,向下方转位与结膜创缘对合,缝合6~8针,并固定于浅层巩膜上。结果:86例95眼中92眼治愈,3眼复发。结论:翼状胬肉钝性剥离联合带蒂结膜瓣移植是治疗翼状胬肉的一种有效方法。
Objective: To study the clinical effect of blunt pterygium stripping combined with pedicle conjunctival flap transplantation in the treatment of pterygium. METHODS: Blunt dissection of the pterygium head with a iris recapturer was performed under a surgical microscope. The pterygium was removed completely and cleanly. A 3 × 10 mm Tiameipi conjunctival flap was made on the top of the conjunctiva. , Stitched 6 to 8 needles, and fixed in the shallow sclera. Results: Among 86 eyes (95 eyes), 92 eyes were cured and 3 eyes had recurrence. Conclusion: Pterygium blunt dissection combined with pedicle conjunctival flap transplantation is an effective method for the treatment of pterygium.