论文部分内容阅读
目的 报道应用显微外科技术切除胬肉的临床效果。 方法 对原发性翼状胬肉分别施行手术,在手术显微镜用显微操作技术进行吸血海绵片擦除25例25眼、在手术显微镜下切除25例25眼。术后用1%荧光素染色法,观察角膜上皮修复速度,随访观察复发率并进行临床分析。 结果 手术显微镜下吸血海绵片胬肉擦除法、手术显微镜下刀片切除法的角膜上皮修复时间分别为4 05 d和6 25 d,两组比较差异有统计学意义。随访观察,擦除组复发率为4%,切除组为12%,两组比较差异也有统计学意义。 结论 在手术显微镜下采用显微操作技术用吸血海绵片擦除法去除胬肉,可以明显减少角膜创伤,促进角膜上皮修复,减轻术后刺激症状,提高治疗效果,降低术后复发率。
Objective To report the clinical effect of microsurgical removal of pterygium. Methods The operation of primary pterygium was performed respectively. Twenty-five patients (25 eyes) and 25 patients (25 eyes) underwent surgical operation under microscopy. Postoperative 1% fluorescein staining was used to observe the rate of corneal epithelial repair. The recurrence rate was observed and analyzed clinically. Results Under the operation microscope, the corneal epithelial repair time of vascularized sponge and gallbladder excision was 405 days and 625 days, respectively. The difference between the two groups was statistically significant. Follow-up observation, eradication group recurrence rate was 4%, resection group was 12%, the difference between the two groups was also statistically significant. Conclusion Microsurgical technique was used to remove the pterygium with the method of vascularization and sponge wiping. It can significantly reduce corneal trauma, promote the repair of corneal epithelium, reduce the postoperative stimulation symptoms, improve the therapeutic effect and reduce the recurrence rate.