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自体角膜缘与结膜移植治疗复发性翼状胬肉 被引量:13

Recurrent pterygium treated by limbal epithelial autograft transplantation and conjunctival autograft transplantation
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摘要 目的比较自体角膜缘与结膜移植治疗复发性翼状胬肉的疗效。方法复发性翼状胬肉病人94例(115眼)随机分为A,B两组,A组47例(56眼),B组47例(59眼)。手术显微镜下切除胬肉后A组行自体角膜缘移植术,B组行自体球结膜移植术。观察术后植片生长、角膜创面修复、角膜新生血管及胬肉复发率。结果术后植片成活时间3~5天(平均3.75天);术后角膜创面修复时间A组较B组快(P<0.05)。角膜新生血管A组较B组少。术后12个月胬肉复发率A组(3.8%)较B组(25.9%)低(P<0.01)。结论治疗复发性翼状胬肉自体角膜缘移植较结膜移植疗效好。 Objective To compare the therapeutic effect of limbal epithelial autograft transplantation with that of conjunctival autograft transplantation on the treatment of recurrent pterygium. Methods 94 cases (115 eyes ) of patients with recurrent pterygium were randomly divided into two groups: group A (47 cases, 56 eyes ) and group B (47 cases, 59 eyes ). After resecting pterygium under operating microscope, limbal epithelial autograft transplantation and conjunctival autograft transplantation were performed on group A and group B, respectively. The graft growth, corneal epithelial healing, corneal neovascularization and recurrent rate of pterygium were observed after operation. Results Graft survived 3-5 d(mean 3.75 d) after operation. Corneal epithelial healed faster in group A than group B(P<0.05). Corneal neovascularization in group A was less than that in group B. Pterygium recurrent rate of group A (3. 8%) was lower than that of group B (25.9%) on 12 months after operation (P<0.01). Conclusion Compared with conjunctival autograft transplantation, limbal epithelial autograft transplantation has a better effect on the treatment of recurred pterygium.
出处 《眼科研究》 CSCD 2000年第4期356-357,共2页 Chinese Ophthalmic Research
关键词 自体角膜缘移植 自体结膜移植 复发性翼状胬肉 limbal epithelial autograft transplantation conjunctival autograft transplantation recurrent pterygium
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参考文献6

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二级参考文献3

  • 1陈剑,国外医学.眼科学分册,1992年,16卷,340页
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