摘要
目的评价不同手术方式治疗翼状胬肉的临床效果。方法回顾性临床研究。原发性翼状胬肉213例(236眼)随机分为3组:A组77例(85眼)行翼状胬肉切除术后加鼻上方带蒂结膜瓣移植术,B组71例(79眼)翼状胬肉切除术后联合颞上方游离结膜瓣移植术,C组65例(72眼)翼状胬肉切除术后联合颞上方带角膜缘干细胞自体结膜瓣移植术。结果术后随访观察6个月~2年,3个组复发率依次为8.2%、5.1%和4.2%,差异无统计学意义(P>0.05)。结论3种手术方式均能有效治疗原发性翼状胬肉,复发率低。
Objective To evaluate the clinical efficacy of different surgical methods for the treatment of pterygium. Methods Retrospective clinical study. The data of 236 eyes of 213 patients with primary pterygium were analyzed.All cases were randomly divided into 3 groups: group A, 85 eyes of 77 patients, received pterygium excision and superior nasal pedicled conjunctival flap transplantation;group B, 79 eyes of 71 cases, received superior temporal free conjunctival flap transplantation after resection;group C, 72 eyes of 65 cases, received superior temporal corneal limbal stem cell autologous conjunctival flap transplantation. Results The patients were followed up for 6 months to 2 years. The recurrence rates of the three groups were 8.2%, 5.1%, and 4.2%, respectively. The difference was not significant among the three groups (P>0.05). Conclusion All three surgical methods can effectively treat primary pterygium with low recurrence rate.
作者
郑智晶
陈晓东
Zheng Zhijing;Chen Xiaodong(Department of Ophthalmology, Putian Pingmin Hospital, Fujian 351115, China)
出处
《中华眼外伤职业眼病杂志》
2019年第7期546-549,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
切除术
胬肉
移植
结膜瓣
干细胞
角膜缘
Excision, pterygium
Transplantation, conjunctival flap
Stem cells, limbus
