翼状胬肉根治手术预防复发的效果观察  

The effect of radical pterygium removed to prevent recurrence

作　　者：方秋云[1] 沙翔垠[1] 彭娟[1] 姚达强[1] 陈振谦[1] 

机构地区：[1]广州医学院第二附属医院眼科,广州510260

出　　处：《中国实用眼科杂志》2010年第4期402-404,共3页Chinese Journal of Practical Ophthalmology

基　　金：广东省科技计划项目（项目编号2009B030801364）广东省医学科研基金（项目编号A2009273）

摘　　要：目的探讨预防翼状胬肉切除手术后复发的方法。方法将住院接受翼状胬肉切除和结膜瓣转移手术的病人114例（155只眼）随机分为A和B两组，并作回顾性分析。A组45例（62只眼），接受翼状胬肉根治手术，即翼状胬肉切除和结膜瓣转移术加球筋膜广泛切除和翼状胬肉残留的球结膜尽量切除；B组，69例（93只眼），仅翼状胬肉切除和结膜瓣转移术，手术后随访12～69月，平均28．5月，观察复发情况。结果A组翼状胬肉手术后1只眼复发，复发率为1．6％；B组手术后14眼复发，复发率为15．1％，用χ^2检验分析，两组复发率的差异具有统计学意义（χ^2=7．19，P〈0．01）。结论翼状胬肉根治切除手术预防翼状胬肉复发具有显著性效果。Objective To study the prevent methods ofpterygium recurrence after operation.Methods A total of 114 patients （ 155 eyes） with pterygium were randomly allocated into two groups, all of the patients received pterygium excision and conjunctival rotation autograft hospitalized and analyzed retrospectively.There were 45 patients （62 eyes） in group A, all of the patients received radical pterygium removal, namely, pterygium excision and conjunctival rotation autograft combined with extended fascia removal and the residual conjunctive removed as possible.There were 69 patients （93 eyes） in group B, all of the eyes only received pteryglum excision and conjunctival rotation autograff.All the patients of the two groups were followed up for 12 to 69 months with an average of 28.5 months, and observed if there were recurrences. Results There was 1 eye found recurrent pterygium in group A while 14 eyes in group B.The recurrent rates were 1.6% and 15.1% respectively.There were statistical significant differences between two groups analyzed by χ^2 examination （χ^2=7.49, P〈 0.01 ）.Conclusions Radical pterygium removal is effective for preventing pterygium recurrence.

关 键 词：翼状胬肉 手术方法 预防复发 

分 类 号：R777.33[医药卫生—眼科]