翼状胬肉手术中的疑点瓣技术

A. Abdulgani
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摘要

背景:翼状胬肉是一种三角形的纤维血管亚上皮向内生长的变性球结膜组织的边缘到角膜。主要的治疗方法是手术,并采取更多的措施来降低复发率。翼状胬肉不需要干预,除非病变向角膜中心延伸并侵犯视觉轴,或者有发红和不适的症状。目的:介绍一种治疗原发性翼状胬肉的新手术方法。我们的目标是找到一种比以前使用的更有效的方法。我们想证明这种技术的复发率很低。患者和方法:以医院为基础的介入病例系列研究,从门诊进行简单随机抽样。该研究于2021年8月至2022年4月在埃尔比勒市埃尔比勒教学医院眼科进行,为期8个月。本研究对40例在本院眼科就诊的翼状胬肉患者行手术治疗。结果:采用双瓣技术治疗翼状胬肉40例,随访3个月复发率为7.5%,平均±SD为46.3±10.537岁。女性24例,男性16例;所有病变均位于鼻部翼状胬肉。在我们研究中使用的样本中,有5例患者过去曾使用其他技术进行过至少一次翼状胬肉切除术,但均未使用该方法复发。结论:双皮瓣是翼状胬肉手术中一种合适的替代技术;这种新手术,双结膜瓣复发率为7.5%,提供了安全且与现有方法相当的结果。
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Doubt flap technique in pterygium surgery
Background: A pterygium is a triangular fibrovascular sub-epithelial ingrowth of degenerative bulbar conjunctival tissue over the limbus onto the cornea. The mainstay of treatment is surgery with more measures to decrease the recurrence rate. Pterygium doesn’t need intervention unless there is an extension of the lesion towards the center of the cornea and it encroaches on the visual axis, or is symptomatic in terms of redness and discomfort. Objective: To present a new surgical technique for managing primary pterygium. We aim to find a more effective method than the one previously used. We wanted to demonstrate and prove that this technique has low recurrence rates. Patients and Methods: A Hospital-based interventional case series study, sampling done by simple random sampling from the outpatient departments. The study was conducted in the ophthalmology department of Erbil teaching hospital in Erbil city for eight months from August 2021-April 2022. In the current study 40 patients with pterygium were operated that they were attending the ophthalmology department in this hospital. Results: The result revealed 3 cases of recurrence of 7.5% out of 40 cases using a dual flap technique as a new approach for treating pterygium in the follow-up of 3 months, in which the mean ± SD of age was 46.3 ± 10.537 years. Twenty four cases were female, and 16 were male; all of the lesions were nasally located pterygium. In the sample we used in the study 5 patients had had pterygium excision using other techniques in the past at least once, and neither of them recurred utilizing this approach. Conclusion: The double flap is a proper alternative technique in pterygium surgery; this new procedure, dual conjunctival flap with 7.5% recurrence rates and provides safe and comparable results to current methods.
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