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出 处:《四川医学》2010年第9期1258-1259,共2页Sichuan Medical Journal
摘 要:目的比较翼状胬肉切除术中保留自体结膜与羊膜移植的临床疗效。方法将62例(73眼)初发翼状胬肉患者分为两组,分别采用保留自体结膜的翼状胬肉切除(37眼)(retaining conjunctive,RC)和加羊膜移植的翼状胬肉切除术(36眼)(freeze-dried amniotic membrane transplantation,FAT),术后随访>16个月,比较术后自觉症状,复发率。结果 RC组患者1例复发,复发率为2.7%,2例鼻侧角巩膜缘圆球样肉芽肿。FAT组复发1例,复发率为2.8%,角巩膜缘圆球样肉芽肿1例。复发率两组比较差异无统计学意义(P>0.05)。结论两组术式术后复发率低,但保留结膜的翼状胬肉切除经济,简单,可作为初发,室内工作者翼状胬肉患者的首选。Objective To compare the clinical effect of freeze-dried amniotic membrane transplantation with retaining conjunctival in pterygium excision.Methods 73 eyes of 62 patients with primary pterygium were divided into 2 groups.37 eyes received retained conjunctival(group RC),and 36 eyes received freeze-dried amniotic membrane transplantation(group FAT).The follow-up time was longer than 16 months.The subjective symptom after operation and the recurrence rate of both groups were compared.Results In group RC,the recurrence rate was 2.7%(1 case).Two cases manifested nodular granuloma on lateral limbus.In group FMT,the recurrence rate was 2.8%(1 case).One case manifested nodular granuloma on limbus.There was no significant difference in recurrence rates between the 2 groups(P0.05).Conclusion The two methods both have lower recurrence rate.However,conjunctival autograft is more economical and simple.It is an alternative first choice for those primary cases who work indoor.
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