吉首大学学报(自然科学版) ›› 2025, Vol. 46 ›› Issue (1): 85-89.DOI: 10.13438/j.cnki.jdzk.2025.01.013

• 医药 • 上一篇    下一篇

翼状胬肉手术治疗及围术期处理研究进展

田若男,彭振宇   

  1. (1.吉首大学医学院,湖南 吉首 416000;2.湘西土家族苗族自治州人民医院眼科,湖南 吉首 416000)
  • 出版日期:2025-01-01 发布日期:2025-01-20
  • 作者简介:田若男(1998—),女,湖南凤凰人,吉首大学医学院硕士研究生,主要从事眼科研究
  • 基金资助:
    吉首大学校级科研项目资助(2022-8)

Progress in Surgical Treatment and Perioperative Management of Pterygium

TIAN Ruonan,PENG Zhengyu   

  1. (1.School of Medicine,Jishou University,Jishou 416000,Hunan China;2.Department of Ophthalmology,Xiangxi Tujia and Miao Autonomous Prefecture People's Hospital,Jishou 416000,Hunan China)
  • Online:2025-01-01 Published:2025-01-20

摘要:检索并分析了近期国内外关于翼状胬肉手术治疗的研究成果,总结归纳了手术治疗方式、术前处理、术中处理、术后处理及手术并发症预防与处理等方面的新进展.手术治疗方式主要包括“翼状胬肉切除+自体角膜缘干细胞移植术”“翼状胬肉切除+自体结膜移植术”“翼状胬肉切除+羊膜移植术”“翼状胬肉切除+自体角膜缘干细胞移植术+羊膜移植术”.术前处理主要有氩激光的辅助治疗和生物羊膜的保存.术中处理主要包括飞秒激光的应用、缝合方式的选择.术后处理主要是环孢素A的应用、绷带镜和5-氟尿嘧啶的应用.手术并发症的预防与处理主要涉及复发性翼状胬肉和其他并发症,如结膜下出血、移植物水肿、移植物脱落、移植物回缩、移植物滑脱动和肉芽肿等.

关键词: 翼状胬肉, 手术治疗, 辅助治疗, 围术期

Abstract: By analyzing the recent research achievements at home and abroad on the surgical treatment of pterygium,the progress in surgical treatment methods,preoperative management,intraoperative management,postoperative management,and the prevention and treatment of surgical complications was explored.The surgical treatment methods mainly include pterygium excision + autologous limbal stem cell transplantation,pterygium excision + autologous conjunctival transplantation,pterygium excision + amniotic membrane transplantation,and pterygium excision + autologous limbal stem cell transplantation + amniotic membrane transplantation.Preoperative management mainly includes the auxiliary treatment with argon laser and the preservation of biological amniotic membrane.Intraoperative management mainly includes the application of femtosecond laser and the selection of suture methods.Postoperative management mainly involves the application of cyclosporine A,bandage contact lenses,and 5-fluorouracil.The prevention and treatment of surgical complications mainly involve recurrent pterygium and other complications (such as subconjunctival hemorrhage,graft edema,graft detachment,graft retraction,graft slippage,granuloma,etc.).

Key words: pterygium, surgical treatment, adjuvant therapy, perioperative period

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