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笔者曾于1985年5月~1987年1月以本人设计的巩膜瓣下埋藏法治疗翼状胬肉。手术方法与本刊1990年第8期孙氏法基本相同。略异处:①为埋藏好胬肉,向巩膜侧做的巩膜板层口袋形剥离一般长6mm(平行角膜缘的切口)、宽3mm。穿过胬肉游离端的褥式缝线,从“口袋底”穿板层巩膜,于近角膜缘处穿出。然后把胬肉游离端推入“口袋”、拂平后结扎。②埋藏胬肉后巩膜瓣隆起,其边缘常外翻。为使外翻的巩膜瓣平复,在距切口两端2mm 处各间断缝合1针,此缝合包括巩膜切口内外缘及中间夹着的胬肉结膜。
I had in May 1985 to January 1987 to my own scleral flap burying method of treatment of pterygium. Surgical methods and the publication of 1990 No. 8 Sun’s method is basically the same. Slightly different place: ① is buried good pterygium, to the sclera side of the scleral parenchyma peel generally 6mm long (parallel limbal incision), width 3mm. The mattress suture through the free end of the pterygium was passed through the lamellar sclera from the “pocket end” and pierced at the near limbal edge. Then push the pterygium free end into the “pocket”, after the flattened ligation. ② buried pterygium scleral flap uplift, the edge of the valgus. In order to make the eversion of the scleral flap smooth, at both ends of the incision away from the 2mm at the intermittent suture 1 needle, the suture, including the inner and outer sclera incision and medial nostril sandwiched between the conjunctiva.