摘要
目的观察在翼状胬肉术中采取干预措施对术后眼表修复的影响。方法临床病例对照研究。通过对82例(88只眼)患者进行随机分组。对照组常规进行翼状胬肉切除+角膜缘干细胞移植术;干预组在常规翼状胬肉切除+角膜缘干细胞移植术中采取小牛血去蛋白眼用凝胶全程覆盖角膜、20%乙醇棉签辅助角膜上皮残存胬肉组织清除、手术区域结膜组织整复等干预措施。观察两组患者术后眼表组织修复情况及主观感受。结果干预组患者术后自觉刺激症状较对照组明显减轻,裂隙灯显微镜检查见干预组眼表组织愈合情况明显优于对照组。术后远期疗效两组无明显差异。结论翼状胬肉术中采用干预措施,加强眼表组织保护,有利于早期眼表组织修复,改善患者术后早期不适症状。
Objetive To observe the effect of intervention measures on the postoperative ocular surface repair in pterygium surgery. Methods 82 patients were grouped randomly.The control group received the routine pterygium excision and limbal stem cells autograft transplanatation; intervention group received the pterygium excision and limbal stem cells autograft transplantation, and undertook covering the corneal with free protein serum of cow gel throughout the whole operation、clearing remnant pterygium with the aid of ethanol cotton-wool bud、the conjunctiva tissue reconstructive operation. Postoperative ocular surface repairs and subjective feelings of the two groups were observed. Result Compared with control group, the conscious stimulating symptoms of intervention group is significantly lower. Slit lamp microscope examination showed that the healing of the intervention group was significantly better than that of control group.The forward effect in the two groups has no significant difference. Conclusion Intervention in pterygium surgery could protect ocular surface tissue, benefit ocular surface repair and improve the indisposed symptoms in. early time postoperatively.
出处
《实用防盲技术》
2016年第1期25-27,共3页
Journal of Practical Preventing Blind
关键词
翼状胬肉
干预
眼表修复
Pterygium
Intervention
Ocular surface repair
