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不同缝线方式对翼状胬肉切除术后眼部舒适度的影响

The effect of different methods of suture for eye comfortafter primary pterygium excision

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【作者】 俞洪涛马晓蓉解正高刘凯峰

【Author】 YU Hong-tao;MA Xiao-rong;XIE Zheng-gao;LIU Kai-feng;Department of Ophthalmology,Northern Jiangsu People’s Hospital;Department of Reproductive Medicine,Northern Jiangsu People’s Hospital;

【机构】 江苏省苏北人民医院眼科江苏省苏北人民医院生殖医学科

【摘要】 目的:探讨四种缝线方式对翼状胬肉术后眼部舒适度的影响。方法:96例翼状胬肉患者随机分成A、B、C、D组,每组24眼,分别使用10-0非吸收缝线行间断缝合、10-0非吸收缝线连续加间断缝合、8-0可吸收缝线连续缝合、10-0非吸收缝线连续缝合,观察术后1 d、7d、1个月、3个月眼部舒适度。结果:术后1d时C、D组较A、B组眼部舒适度好,A、B组无明显差异,C、D组无明显差异。术后7d、术后1个月A、B、D组较C组舒适度高,差异有统计学意义,A、B、D组差异不明显。术后3个月四组眼部舒适度无明显差异。结论:翼状胬肉手术切除联合自体结膜瓣移植术中用10-0非吸收缝线连续缝合固定结膜瓣,术后早期眼部舒适度高。

【Abstract】 Objective To investigate the effect of four methods of sutures for eye comfort after pterygium excision.Methods 96 cases of pterygium were randomly divided into four groups(A,B,C,D).24 eyes in each group-respectively,using the 10-0 non-absorbable interrupted suture in one group,using the 10-0 non-absorbable interrupted and continuous suture in the second group,using the 8-0 absorbable continuous suture in another group,and using the 10-0 non-absorbable continuous suture in the last group,eye comfort was observed at 1-day,7-day,1-month,and 3-month after the surgery.Results Eye comfort had difference between C,Dgroups and A,B groups,but had no significant difference between A and B groups,C and D groups in 1-day.Eye comfort was high in A,B,D groups compared with C group at 7-day,1- month postoperative.The difference was statistically significant.The eye comfort was quite between A,B,D groups.There was no significant difference in four groups at 3-month.Conclusion Compared with the four groups with fixing conjunctival flap in pterygium excision,eye comfort was better in the group that used 10-0 non-absorbable continuous suture at early postoperative.

【关键词】 翼状胬肉缝线舒适度
【Key words】 pterygiumsuturecomfort
  • 【文献出处】 中国美容医学 ,Chinese Journal of Aesthetic Medicine , 编辑部邮箱 ,2015年08期
  • 【分类号】R779.6
  • 【被引频次】6
  • 【下载频次】89
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