时间：2022-09-17 05:39:11
【摘要】 目的 ^察翼状胬肉切除联合自体带蒂结膜瓣转移术治疗翼状胬肉的临床疗效。方法 75例（75眼）翼状胬肉患者， 根据手术方法不同分为观察组40例（40眼）和对照组35例（35眼）， 两组均在手术显微镜下行进行手术， 观察组为翼状胬肉切除联合自体带蒂结膜瓣转移术， 对照组为单纯翼状胬肉切除术， 术后随访3个月， 观察两组患者术后恢复、并发症及复况。结果 术后早期两组患者均有不同程度的疼痛、畏光、流泪及异物感等眼部刺激症状， 观察组患者术后眼部刺激症状持续时间为（5.62±1.89）d， 与对照组的（6.13±1.51）d比较差异无统计学意义（P>0.05）。观察组患者术后角膜创面上皮愈合时间为（4.23±1.21）d， 与对照组的（4.30±1.17）d比较差异无统计学意义（P>0.05）。经过3个月随访， 两组均无感染、眼球活动受限、睑球粘连等并发症， 观察组未出现结膜瓣移植排斥或溶解现象， 对照组出现1例结膜肉芽肿形成， 自觉异物感明显， 再次手术切除后异物感消失。观察组复发率为2.5%， 明显低于对照组的25.7%， 差异具有统计学意义（P
【关键词】 翼状胬肉；翼状胬肉切除术；带蒂结膜瓣；复发
DOI：10.14163/ki.11-5547/r.2017.17.022
Observation of curative effect by pterygium resection combined with autologous pedicle conjunctival flap transplantation in the treatment of pterygium LAN Cheng-hong. Department of Ophthalmology， Guangdong Meizhou City People’s Hospital， Meizhou 514031， China
【Abstract】 Objective To observe clinical effect by pterygium resection combined with autologous pedicle conjunctival flap transplantation in the treatment of pterygium. Methods A total of 75 patients （75 eyes） with pterygium were divided by different operation measures into observation group with 40 cases （40 eyes） and control group with 35 cases （35 eyes）. Both groups received operation through surgical microscope. The observation group received pterygium resection combined with autologous pedicle conjunctival flap transplantation， and the control group received single pterygium resection. Their postoperative follow-up lasted for 3 months. Observation was made on postoperative rehabilitation， complications and recurrence condition in the two groups. Results In early postoperative phase， both groups had various eye irritation symptoms of pain， photophoby， lacrimation and foreign body sensation. The observation group had duration time of postoperative eye irritation symptoms as （5.62±1.89） d，
which was （6.13±1.51） d in the control group， and their difference had no statistical significance （P>0.05）. The observation group had postoperative epithelial healing time of corneal wound as （4.23±1.21） d， which was （4.30±1.17） d in the control group， and their difference had no statistical significance （P>0.05）. After 3 months of follow-up， both groups had no complications of infection， limitation of eye movement， and symblepharon. There was no case with conjunctival flap transplant rejection or dissolution in the observation group. The control group had 1 case with conjunctival granuloma and obvious foreign body sensation， which was relieved after secondary operation. The observation group had obviously lower recurrence rate as 2.5% than 25.7% in the control group， and the difference had statistical significance （P