Kim Dong Ju, Lee Jimmy K, Chuck Roy S, Park Choul Yong
Department of Ophthalmology, Dongguk University, Ilsan Hospital, 814, Siksadong, Ilsan-dong-gu, Goyang, Kyunggido, 410-773, South Korea.
Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
BMC Ophthalmol. 2017 Oct 10;17(1):187. doi: 10.1186/s12886-017-0587-z.
To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery.
Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8-0 polyglactin (41 eyes) or 10-0 nylon (69 eyes). The recurrence rate was determined, and the two suture materials utilized were compared.
The recurrence rate was 2.71% (3 cases in 110 eyes) when an anchored conjunctival rotation flap technique was used and patients were monitored for 26.40 ± 17.09 months. Interestingly, the recurrences were only observed in polyglactin-sutured eyes. No recurrence was detected in nylon-sutured eyes. No other complications were observed in either group.
The anchored conjunctival rotation flap technique for pterygium surgery has a relatively low recurrence rate. Nylon suture-fixation of the flap was found to be superior to polyglactin suture-fixation in preventing recurrence.
报告在原发性翼状胬肉手术中使用锚定结膜旋转皮瓣技术的复发率。
回顾了采用锚定结膜旋转皮瓣技术进行的原发性翼状胬肉手术（110例患者的110只眼），最小随访时间为12个月。在该技术中，将结膜瓣旋转以覆盖裸露的巩膜，并用8-0聚乙醇酸缝线（41只眼）或10-0尼龙缝线（69只眼）进行缝合固定。确定复发率，并比较所使用的两种缝合材料。
采用锚定结膜旋转皮瓣技术且患者接受26.40±17.09个月的监测时，复发率为2.71%（110只眼中有3例）。有趣的是，复发仅在使用聚乙醇酸缝线缝合的眼中观察到。在使用尼龙缝线缝合的眼中未检测到复发。两组均未观察到其他并发症。
翼状胬肉手术的锚定结膜旋转皮瓣技术复发率相对较低。发现皮瓣的尼龙缝线固定在预防复发方面优于聚乙醇酸缝线固定。
