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| 酒精浸泡剥离法在翼状胬肉手术中的疗效观察 | |
| 引用本文： | 马烈,刘芳,顾丽萍. 酒精浸泡剥离法在翼状胬肉手术中的疗效观察[J]. 国际眼科杂志, 2012, 12(12): 2427-2428 |
| 作者姓名： | 马烈 刘芳 顾丽萍 |
| 作者单位： | 中国江苏省苏州市眼视光医院眼科;中国江苏省苏州市眼视光医院眼科;中国江苏省苏州市眼视光医院眼科 |
| 摘 要： | 目的：观察酒精浸泡剥离法在翼状胬肉手术中的疗效和临床意义。 方法：原发翼状胬肉48眼，局部麻醉下将一个环形金属圈置于胬肉头部，其中填充200mL/L酒精，40～60s后，用生理盐水充分冲洗。自胬肉头部缘开始用特制上皮刮匙剥离并清除变性组织，用带角膜缘的自体结膜瓣进行移植。 结果：术后48眼，随访1wk～1a，手术效果良好，角膜创面光滑，组织结构完整、瘢痕少且散光明显减小。 结论：酒精浸泡剥离法治疗翼状胬肉是一种安全、有效的方法。 |
| 关 键 词： | 翼状胬肉 手术 酒精 曲率 |
| 收稿时间： | 2012-08-13 |
| 修稿时间： | 2012-10-31 |
Observation of the effect of alcohol soaked peeling in pterygium surgery |
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| Lie M,Fang Liu and Li-Ping Gu. Observation of the effect of alcohol soaked peeling in pterygium surgery[J]. International Eye Science, 2012, 12(12): 2427-2428 | |
| Authors: | Lie M Fang Liu Li-Ping Gu |
| Affiliation: | Department of Ophthalmology,Suzhou Eye Hospital, Suzhou 215000, Jiangsu Province, China;Department of Ophthalmology,Suzhou Eye Hospital, Suzhou 215000, Jiangsu Province, China;Department of Ophthalmology,Suzhou Eye Hospital, Suzhou 215000, Jiangsu Province, China |
| Abstract: | AIM: To observe the effect and clinical significance of alcohol soaked peeling during the pterygium surgery. METHODS: Totally 48 eyes of primary pterygium, a special metal ring was placed on the head of pterygium under local anesthesia, which filled with 200ml/L alcohol in metal ring, 40-60 seconds later, adequate flushing with saline, then peeled and cleaned up the degenerative organization of pterygium using a special curette, transplanted an autologous conjunctival flap with corneal limbus. RESULTS: Follow-up one week to one year, postoperatively 48 eyes had good operative effect, smooth and clean in operation location, complete tissue construction, little scar and less astigmatism than preoperative. CONCLUSION: The peeling operation of pterygium aided alcohol soak is a safe, effective method. |
| Keywords: | pterygium operation alcohol cornea curvature |
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