国际眼科杂志Issue(8):1527-1528,2.DOI:10.3980/j.issn.1672-5123.2014.08.47
表面麻醉下翼状胬肉手术中应用纤维蛋白胶的效果
Clinical observation on fibrin glue technique in pterygium surgery under surface anesthesia
刘慧 1魏瑞华 1黄悦 1杨瑞波 1张琛 1赵少贞1
作者信息
- 1. 300384 中国天津市,天津医科大学眼科医院 天津医科大学眼科研究所
- 折叠
摘要
Abstract
AIM:To compare the efficiency of fibrin glue to suture technique in pterygium surgery performed with limbal autograft under different methods of anesthesia. <br> METHODS: A prospective randomised clinical trial was carried out in 60 eyes of 55 patients operated for primary nasal pterygium, which were divided into two groups randomly: experimental group ( 30 eyes in 27 patients ) was under surface anesthesia ( oxybuprocaine ) and control group ( 30 eyes in 28 patients ) was under local anesthesia ( 20g/L lidocaine ). Autologous limbal graft taken from the superotemporal limbus was used to cover the sclera by a fibrin tissue adhesive after pterygium excision. Patients were followed up at least for 6mo. Time of operation, matching degree of graft and VAS score were mainly observed and recorded. <br> RESULTS: In experimental group the average surgery time was shorter (P=0. 008) and matching degree of graft ( 93%) was better than control group ( 83%) , the differences had statistical significance(P<0.05). <br> CONCLUSION: The surface anesthesia is enough when using fibrin glue for graft fixation in pterygium surgery, which will shorten surgery time and get better matching degree of graft.关键词
表面麻醉/纤维蛋白胶/翼状胬肉/干细胞移植/疼痛评估Key words
surface anesthesia/fibrin glue/pterygium/stem cell transplant/pain estimation引用本文复制引用
刘慧,魏瑞华,黄悦,杨瑞波,张琛,赵少贞..表面麻醉下翼状胬肉手术中应用纤维蛋白胶的效果[J].国际眼科杂志,2014,(8):1527-1528,2.