摘要
目的比较翼状胬肉切除术使用埋线法和术后使用绷带镜的临床效果.方法前瞻性随机病例对照研究.2017年8月至2018年8月于该院原发性翼状胬肉切除自体角膜缘干细胞移植术共106例(106眼),随机分成3组:埋线组、绷带镜组和对照组.结果疼痛评分:术后1天绷带镜组较埋线组低(P=0.001),术后3天和7天,绷带镜组和埋线组差异无统计学意义(P=0.213,0.676).角膜上皮荧光素染色面积:术后1和3天绷带镜组较埋线组小(P=0.001,0.020);术后7天两组差异无统计学意义(P=0.173).结论翼状胬肉切除术后绷带镜较结膜埋线法能更好地促进角膜上皮愈合.
Objective To compare the clinical efficacy between suture embedding method in pterygium excision and bandage contact lens after pterygium excision.Methods A prospective,randomized and controlled case study.The data of 106 eyes of 106 patients who underwent pterygium excision combined with autologous conjunctival flap graft transplantation in this hospital from Aug.2017 to Aug.2018 were collected and analyzed.All patients were divided into three groups randomly,included suture embedding group,bandage contact lens group and control group.Results The pain was assessed with visual analogue scale(VAS).The scores in bandage contact lens group was less than that in suture embedding group at 1day postoperatively(P=0.001).There was no significant difference of pain score between bandage contact lens group and suture embedding group at 3 and 7 days after operation(P=0.213,0.676).The area of corneal epithelium fluorescent staining in bandage contact lens group were less than that in suture embedding group at 1 and 3 days after operation(P=0.001,0.020).There was no significant difference between bandage contact lens group and suture embedding group at 7 days after operation in corneal epithelium fluorescent staining area(P=0.173).Conclusion Application of bandage contact lens after pterygium excision in alleviation of corneal irritation and pain is better than suture embedding method.And bandage contact lens can promote corneal epithelial healing effectively.
作者
郑茜尹
伍海建
Zheng Qianyin;Wu Haijian(Department of Ophthalmic Center,Taizhou Municipal Hospital,Zhengjiang 318000,China)
出处
《中华眼外伤职业眼病杂志》
2019年第12期935-940,共6页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
手术
翼状胬肉
绷带镜
角膜
埋线
Surgery
pterygium
Bandage contact lens
corneal
Suture embedding
