翼状胬肉根治手术的美容效果观察  

The Cosmetic Effect of Radical Pterygium Removal

作　　者：方秋云[1] 周春辉[2] 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,广东广州510260 [2]广州医学院第二附属医院病理科,广东广州510260

出　　处：《临床医学工程》2011年第5期664-666,共3页Clinical Medicine & Engineering

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：目的探讨最佳美容效果的翼状胬肉切除方法。方法将本院住院接受翼状胬肉切除和结膜瓣转移手术的病人206例(263眼)随机分为A和B两组,A组92例(120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联合球筋膜广泛切除和翼状胬肉残留的球结膜尽量切除术;B组114例(143眼),仅翼状胬肉切除和结膜瓣转移术,手术后随访24个月,统计翼状胬肉术后美容效果差的(复发和再生长)眼数的发生率,以观察美容效果。结果 A组美容效果差的眼数为17,发生率为14.17%;B组美容效果差的眼数为87,发生率为60.84%,经统计学分析,两组差异有显著性意义(χ2=59.45,P<0.005)。结论翼状胬肉根治切除手术的美容效果明显优于仅翼状胬肉切除和结膜瓣转移术。Objective To study the cosmetic effect of radical pterygium removal.Methods The total of 206 patients（263 eyes） with pterygium had been randomly allocated into two groups：group A and group B,who had all received pterygium excision and conjunctival rotation autograft in hospitalization.92 patients（120 eyes） were in group A,who had all received radical pterygium removal,namely,pterygium excision and conjunctival rotation autograft combined with extended fascia removal and the residual conjunctive removed as possible;114 patients（143 eyes） were in group B,who had only received pterygium excision and conjunctival rotation autograft.All the patients of the two groups had been followed up for 24 months,and the cosmetic effect was observed by counting the rate of poor cosmetic eyes including recurrence and regeneration.Results Group A had 17 eyes with poor cosmesis（at recurrence of 14.17%） and group B had 87 eyes with poor cosmesis（at recurrence of 60.84%） respectively.The two groups had significant difference（χ2 = 59.45,P〈 0.005） by statistical comparative analysis.Conclusion Radical pterygium removal is more effective than pterygium excision and conjunctival rotation autograft for cosmesis.

关 键 词：翼状胬肉 手术方法 美容效果 

分 类 号：R779.6[医药卫生—眼科]