国际眼科杂志Issue(2)：364-366,3.DOI:10.3980/j.issn.1672-5123.2015.2.53
纤维蛋白胶运用于翼状胬肉手术的临床观察
Clinical observation on fibrin glue application during pterygium surgery
雷琦峰 1蔡维1
作者信息
- 1. 442000 中国湖北省十堰市，湖北医药学院附属东风医院眼科
- 折叠
摘要
Abstract
AlM: To observe the clinical results of pterygium excision combined with conjunctival autograft transplantation using fibrin glue.METHODS:A total of 60 patients (60 eyes) with primary nasal pterygium were randomly divided into two groups:the fibrin glue group ( experimental group, 30 eyes) and suture group ( control group, 30 eyes ) . All patients underwent pterygium excision combined with conjunctival autograft transplantation. ln the experimental group autograft was attached to sclera with fibrin glue while in control group 10-0 polyamide was used. The patients were followed up for 6mo. The time of operation, post operation comfort, complications and recurrence were evaluated.RESULTS:The average surgical time was 24. 5 ± 6. 5min with fibrin glue group while 35. 2 ± 5. 4min with suture group, with statistically significant difference between two groups (P<0. 05). Pain and foreign body sensation was significantly less with fibrin glue group than that in the control group ( P < 0. 05 ). No severe postoperative complication occurred both in two groups. The incidence of subconjunctival hemorrhage in the experimental group was lower than that in the control group (P<0. 05). 1 case (3%) of fibrin glue group, 3 cases (10%) of suture group had recurrence at the end of follow up 6mo.CONCLUSlON:lt's a safe and effective way to attach conjunctival autograft during pterygium surgery by fibrin glue. lt can reduce surgical time, postoperative complications and relieve postoperative discomfort.关键词
翼状胬肉/纤维蛋白胶/自体结膜移植/复发Key words
pterygium/fibrin glue/conjunctival autograft/recurrence引用本文复制引用
雷琦峰,蔡维..纤维蛋白胶运用于翼状胬肉手术的临床观察[J].国际眼科杂志,2015,(2):364-366,3.
