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1、头部撕除联合带蒂结膜瓣移植术治疗原发性翼状胬肉第34卷第3期第370页
2005年6月
华中科技大学(医学版)
ActaMedUnivSciTechnolHuazhong
V01.34No.3P.370
June2005
头部撕除联合带蒂结膜瓣移植术治疗原发性翼状胬肉
刘海霞周雄武张晓农△
华中科技大学同济医学院附属同济医院眼科,武汉430030
摘要目的观察翼状胬肉头部撕除联合带蒂结膜瓣转位移植术治疗原发性翼状胬肉的疗效,探讨治疗原发性翼
状胬肉的手术方法以及对翼状胬肉早期进行手术的可行性.方法原发性翼状胬肉患者15例(2O眼),胬肉头部侵
入角膜<
2、;2mm5眼,2~3mm12眼,达瞳孔缘3眼.由同一人进行手术,均采用显微镜下胬肉头部撕除联合带蒂结
膜瓣转位移植术.术后定期随访观察疗效.结果翼状胬肉2O眼,术后随访中均未复发术后胬肉头部侵入角膜<2
mm的5眼角膜术区透明,2~3mm12眼中9眼及达瞳孔缘3眼裂隙灯下观察术区角膜有淡淡云翳.手术前后视力变
化:胬肉头部侵入角膜<2mm的5眼术前术后视力无变化,其余头部>2mm的15只眼中有12只眼术后视力有不同
程度的提高.美容效果:所有患者于裂隙灯下均不易发现曾行过翼状胬肉手术.结论该手术方式能安全地切除原发
性翼状胬肉,获得良好的
3、视力和美容效果,且操作方便实用,具有在I临床推广应用的价值.对原发性翼状胬肉可尽早
手术.
关键词翼状胬肉;结膜移植
中圈法分类号R777.33
TearingoffHeadandSlidingConjunctivalFlapwithaBasefor
theTreatmentofPrimaryPterygium
LiuHaixia,ZhouXiongwu,ZhangXiaonong△
DepartmentofOphthalmology,TongJiHospital,TongJiMedicalCollege,
HuazhongUniversityofScie
4、nceandTechnology,Wuhan430030
AbstractObjectiveToinvestigatetheefficacyoftearingofftheheadcombinedwithconjunctivalflaptransplantation
withabaseinthetreatmentofprimarypterygiumandthesurgicalprocedures,andtostudythefeasibilityofexcisingpterygium
intheearlystage.MethodsClperationswere
5、performedon15patients(2Oeyes)withprimarypterygium.Fiveheadsofthe
pterygiuminvadedthecorneabylessthan2mm,12by2to3mm,still3invadedtherimofthepupil.AIloftheoperations
wereperformedbyonesurgeonunderamicroscopeinthemanneroftearingoffthepterygiumheadcombinedwithconjunctival
flaptranspla
6、ntationwithabase.Regularfollow—upwascarriedouttoevaluatetheefficacyofoursugicaltreatment.Results
Themedianfollow-upwas13.5months(8monthsto1yearand7months).Noreccurencewasfoundduringthefollow-up.No
cornealnebulacouldbefoundinthe5eyesinthelessthan2mmgroup,whilecornealnebulacouldbefo
7、undin9ofthe12eyes
inthe2to3mmgroupandalltherest3eyeswheretheheadsinvadedtherimofthepupils.Visualacuitywasnotimprovedin
the5eyeswheretheheadsofthepterygiumsinvadedthecorneasbylessthan2mm.Visualacuitywasimprovedin12ofthe
other15eyeswheretheheadsofthepterygiuminvadedthecorneasgreater
8、than2mm.Cosmeticeffectwassatisfac