自體结膜角膜缘上皮和异體羊膜移植术治疗翼状胬肉的临床研究  

Clinical study of conjunctival - limbal epithelium autograft and amniotic membrane trasplantation in treatment of pterygium

作　　者：程丹富[1] 沈惠[1] 刘凤仙[1] 

机构地区：[1]中国山东省日照市人民医院眼科,276800

出　　处：《国际眼科杂志》2000年第1期60-62,共3页International Eye Science

摘　　要：目的 觀察自體结膜角膜緣上皮移植術和异體羊膜移植術治療翼狀胬肉的臨床效果。方法 對55例(73只眼)行自體結膜角膜緣上皮移植術,隨訪1-17月,平均8.9月;對35例(46只眼)行异體羊膜移植術,隨訪1-14月,平均7.7月。结果兩組病例中初發性翼狀胬肉均無復發,而復發性翼狀胬肉的復發率分别為10.53％和6.67％,兩者無顯著性差异(P>0.05),但后者術后反應輕、上皮恢復快。结論 自體結膜角膜緣上皮移植術和异體羊膜移植術均是治療翼狀胬肉的良好方法,以后者為佳,治療翼狀胬肉的關鍵在于初發性手術方式的選擇。Objective To observe the effects of conjunctival - limbal epithelium autograft and amniotic membrane transplantation in treatment of pterygium. Methods 73 eyes of 55 cases were given conjunctival- limbalepithelium autograft and followed up for 1 to 17 months (averaged 8. 9 months). ;46 eyes of 35 cases were given amniotic membrane transplantation and followed up for 1 to 14 months (averaged 7.7 months). Results Primary pterygium had no recurrence in the two groups, while 10.53% and 6.67 % of recurrent pterygium recurred again both groups. With no significant difference between them (P> 0.05). The postoperative reaction was slighter and epithelium healed faster in group treated by amniotic membrane transplantion. Conclusion conjunctival - limbal epithelium autograft and amniotic membrane transplantation are effective treatment of pterygium. The key to cure pterygium is the selection of effective operative approach for primary pterygium.

关 键 词：翼状胬肉 结膜移植 角膜移植 羊膜移植 

分 类 号：R779.6[医药卫生—眼科]