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目的观察并探讨翼状胬肉逆行钝性剥离切除联合带蒂球结膜瓣转移术的临床疗效。方法手术操作要点:在表麻和浸润麻醉下,钝性剥离胬肉颈、头部,彻底切除胬肉和累及的球筋膜组织,上方作一条与角膜缘平行的带蒂球结膜瓣,并转位覆盖在巩膜裸区,丝线缝合固定平整。用此法治疗原发性翼状胬肉患者242例(250眼)随访1~12个月。结果术后复发3眼,复发率为1.2%。结论胬肉逆行钝性剥离联合球结膜瓣转移术治疗翼状胬肉取材方便,手术创伤相对小,疗效显著,复发率低。
Objective To observe and explore the clinical effect of pterygium retrograde blunt dissection combined with pedicle conjunctival flap transfer. Methods The main points of surgical operation: under ephedra and infiltration anesthesia, blunt dissection of the flesh neck, head, complete removal of pterygium and involved the ball fascia tissue, the top of the corneal limbus for a parallel conjunctival flap and turn Position covered in the sclera bare area, silk suture fixed flat. 242 patients (250 eyes) treated with this method for primary pterygium were followed up for 1 to 12 months. Results The recurrence of 3 eyes, the recurrence rate was 1.2%. Conclusions Pterygium retrograde blunt dissection combined with ball conjunctival flap transfer for the treatment of pterygium is convenient, relatively small surgical trauma, significant effect, low recurrence rate.