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[摘要]
目的：对比分析翼状胬肉切除法与撕除法术后24h疼痛评分的差别。
方法：选择翼状胬肉患者160例160眼，随机分为切除组80例80眼和撕除组80例80眼。术后24h疼痛分级，评价两组术后疼痛差别。
结果：撕除组80眼，术后疼痛评分为0级，1级，2级，3级分别为4眼，45眼，23眼，8眼； 切除组80眼，术后疼痛评分为0级，1级，2级，3级分别为1眼，30眼，33眼和16眼。两组差异有统计学意义(Z=-2.995，P=0.03)。
结论：撕除法的术后疼痛程度显著低于切除法，撕除法在处理翼状胬肉头部组织中有独特的优势。
[Key word]
[Abstract]
AIM: To compare the pain after pterygium surgery with retrograde rip method and excision method.
METHODS: Totally, 160 pterygium patients(160 eyes)accepted surgery: 80 cases(80 eyes)underwent retrograde rip method and 80 cases(80 eyes)underwent excision method. The pain experience was graded 24h after the operation, difference of which between two groups was evaluated.
RESULTS: The number of cases suffering 0, 1, 2, 3 degree of pain was 4, 45, 23, 8 in retrograde rip group and 1, 30, 33, 16 in excision group respectively, with differences of statistical significance among them(Z=-2.995, P=0.03).
CONCLUSION: The pain degree experienced in retrograde rip method is lower than that in traditional excision method. Retrograde rip method has unique advantage in treating pterygium in cephalosome tissue.
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