摘要
目的观察翼状胬肉切除联合自体结膜移植术中术眼结膜瓣不同取瓣位置对疗效的影响。方法将80例(80眼)单侧原发性翼状胬肉患者分为A、B 2组,分别行翼状胬肉切除+自体结膜移植术,其中A组于术眼上方球结膜处取结膜瓣,B组于术眼下方球结膜处取结膜瓣。比较2组患者术后1周、2周、1个月、3个月术眼刺激症状、角膜结膜愈合情况,结膜瓣存活情况及术后3个月胬肉复发情况。结果两组患者术后1周、2周、1个月、3个月术眼刺激症状、角膜结膜愈合情况,结膜瓣存活情况及术后3月胬肉复发情况未见统计学差异(P>0.05)。结论翼状胬肉切除联合自体结膜移植术中术眼球结膜下方取结膜瓣与上方取瓣疗效相同。且下方取瓣可避免上方球结膜区瘢痕化,为今后可能的内眼手术留有余地。
Objetive To observe the therapeutic effects of pterygium excision combined with autologous transplantation of conjunctival flap from different area on the bulbar conjunctiva. Methods Eighty patients with primary pterygium were divided into group A and group B. Group A underwent pterygium excision and autologous transplantation of conjunctival flap from the fornix conjunctivae superior. Group B underwent pterygium excision and autologous transplantation of conjunctival flap from the fornix conjunctivae inferior. The irritation symptoms, postoperative conjunctival and corneal epithelial healing time, survival condition of conjunctival flap in the operative eye at the first week, the second week, the first month, the third month after the surgery and the rates of recurrence of the two groups in the third month were measured and compared. Results There was no significant difference in the irritation symptoms, postoperative conjunctival and corneal epithelial healing time, survival condition of conjunctival flap and the rates of recurrence in the operative eye among two groups(P>0.05). Conclusion Curative effect of two groups were basic similar. The pterygium excision and autologous transplantation of conjunctival flap from fornix conjunctivae inferior can avoid the formation of conjunctiva scars in the fornix conjunctivae superior and it will get advantages for the potential intraocular surgery in the future.
出处
《实用防盲技术》
2015年第4期159-161,174,共4页
Journal of Practical Preventing Blind
