斜视手术：用于结膜闭合的纤维蛋白胶与薇乔缝线对比
Strabismus surgery: fibrin glue versus vicryl for conjunctival closure.
作者信息
Dadeya S, Ms K
机构信息
Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi-2, India.
出版信息
Acta Ophthalmol Scand. 2001 Oct;79(5):515-7. doi: 10.1034/j.1600-0420.2001.790518.x.
PURPOSE
The aim of present study was to compare the results of conjunctival closure by fibrin glue with vicryl in strabismus surgery.
METHODS
19 patients undergoing bilateral symmetrical strabismus surgery were included in this study. Conjunctival incisions were closed with 6-0 vicryl in the right eye and fibrin glue in the left eye.
RESULTS
On first post-operative day 15 out of 19 eyes (78.9%) had well apposed conjunctiva, 3 out of 19 eyes (15.79%) had 1 mm retraction and one out of 19 eyes (5.26%) had 2 mm retraction, which needed suturing, in cases in which fibrin glue was applied. Increased discomfort and excessive watering was noted during the early postoperative period in 8 out of 19 eyes (42.1%), in eyes in which the conjunctiva was closed with 6-0 vicryl, as compared to none in the fibrin glued eyes (p=0.005). However, the difference disappeared after 21 days.
CONCLUSION
Fibrin glue can be used as an alternative to suturing for conjunctival closure following strabismus surgery.
目的
本研究旨在比较斜视手术中使用纤维蛋白胶与薇乔缝线进行结膜闭合的效果。
方法
本研究纳入了19例行双侧对称性斜视手术的患者。右眼结膜切口用6-0薇乔缝线闭合，左眼用纤维蛋白胶闭合。
结果
术后第一天，19只眼中有15只（78.9%）结膜贴合良好，19只眼中有3只（15.79%）有1毫米的退缩，19只眼中有1只（5.26%）有2毫米的退缩，在使用纤维蛋白胶的病例中，这只眼睛需要缝合。与使用纤维蛋白胶的眼睛无一例出现这种情况相比，19只眼中有8只（42.1%）使用6-0薇乔缝线闭合结膜的眼睛在术后早期出现不适增加和流泪过多的情况（p=0.005）。然而，21天后这种差异消失。
结论
纤维蛋白胶可作为斜视手术后结膜闭合缝合的替代方法。
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