连续锁边缝合在结膜植片中的应用

Application of continuous side whipstitch suture in conjunctival graft

摘要:

目的:探索眼科显微手术中结膜植片的最佳缝合方法。方法:选取2005-01/2010-10在我院手术的翼状胬肉或结膜肿块患者,术中均采用自体结膜移植,在结膜植片缝合时予10-0线行连续锁边缝合,术后1wk在裂隙灯下拆线,随访2mo,观察切口炎症反应、愈合情况、密闭性,以及有无其他并发症。结果:连续锁边缝合术后结膜密闭性好,反应小,并发症少,无结膜囊肿及肉芽发生。结论:连续锁边缝合是一种良好的缝合技术,提高了手术效率,减少了术后并发症。

Abstract:

AIM:To explore the best suturing method of conjunctival graft under microscope. METHODS:Ninety-two eyes of pterygium or conjunctival bump patients of 2005-2010,who underwent operation in our hospital,were collected.All patients were excised under microscope with conjunctival autograft, continuous side whipstitch suture were performed in the operation with 10- 0 line. One week after the operation, sutures were removed under the slit lamp.Patients were followed up for two months, incision inflammation, healing, leakproofness, and other complications were observed. RESULTS:After continuous side whipstitch suture, conjunctiva was of good leakproofness, small reaction, fewer complications and no conjunctival cysts and granulation. CONCLUSION:Continuous side whipstitch suture is a good suturing method, and can improve the operation efficiency, reduce postoperative complications.