20%乙醇在翼状胬肉切除术的应用
发布时间:2018-10-29 20:54
【摘要】:目的探讨20%乙醇溶液在翼状胬肉切除手术中应用的临床效果。方法原发性翼状胬肉患者48例(54眼),术中用20%乙醇溶液的棉片覆盖在胬肉组织头部及颈部表面,棉片超过胬肉组织边界2mm,维持40s,然后用平衡盐溶液冲洗。刮除翼状胬肉的头部、颈部及体部组织。制作术眼上方带球结膜瓣的角膜缘浅板层角膜移植片,将植片缝合于植床处。结果 54眼翼状胬肉组织头部很容易被刮除,角膜表面光滑,无胬肉组织残留。随访12个月。51眼痊愈,术后复发3眼,复发率为5.56%。结论 20%乙醇溶液浸泡法能有效分离胬肉组织与角膜,有利于彻底切除胬肉组织。
[Abstract]:Objective to investigate the clinical effect of 20% ethanol solution in pterygium excision. Methods 48 cases (54 eyes) of primary pterygium were treated with 20% ethanol solution cotton covering the head and neck of pterygium tissue. The pterygium tissue exceeded the boundary of pterygium by 2 mm for 40 s and then washed with balanced salt solution. Scrape the head, neck and body tissue of pterygium. The superficial lamellar keratoplasty with conjunctival flap was made and the graft was sutured to the bed. Results the head of 54 eyes pterygium tissue was easily scraped, the corneal surface was smooth, and there was no residual pterygium tissue. All eyes were followed up for 12 months. 51 eyes were cured and 3 eyes recurred after operation. The recurrence rate was 5.56%. Conclusion the 20% ethanol solution immersion method can effectively separate pterygium tissue from cornea and is beneficial to complete excision of pterygium tissue.
【作者单位】: 南通市第一人民医院眼科;
【分类号】:R779.6
[Abstract]:Objective to investigate the clinical effect of 20% ethanol solution in pterygium excision. Methods 48 cases (54 eyes) of primary pterygium were treated with 20% ethanol solution cotton covering the head and neck of pterygium tissue. The pterygium tissue exceeded the boundary of pterygium by 2 mm for 40 s and then washed with balanced salt solution. Scrape the head, neck and body tissue of pterygium. The superficial lamellar keratoplasty with conjunctival flap was made and the graft was sutured to the bed. Results the head of 54 eyes pterygium tissue was easily scraped, the corneal surface was smooth, and there was no residual pterygium tissue. All eyes were followed up for 12 months. 51 eyes were cured and 3 eyes recurred after operation. The recurrence rate was 5.56%. Conclusion the 20% ethanol solution immersion method can effectively separate pterygium tissue from cornea and is beneficial to complete excision of pterygium tissue.
【作者单位】: 南通市第一人民医院眼科;
【分类号】:R779.6
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