翼状胬肉两种不同术式临床疗效对比  

Comparison of clinical efficacy between two different surgical treatments of pterygium

作　　者：刘锐[1] 詹天顺[2] 杨于力[1] 胡晓蕾[3] 谢汉平[1] 

机构地区：[1]第三军医大学西南医院眼科,重庆400038 [2]重庆市第三人民医院眼科 [3]第三军医大学西南医院药剂科

出　　处：《中华眼外伤职业眼病杂志》2013年第4期292-294,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价翼状胬肉手术两种不同术式的临床疗效。方法原发性翼状胬肉65例（81眼）随机分为两组。均采用逆向方法撕除翼状胬肉。A组联合应用丝裂霉素C；B组联合角膜缘干细胞自体移植。术后12—24个月随访。结果A组29例（37眼）中7眼复发（18．92％）；B组36例（44眼）中1眼复发（2．27％）；两组复发率差异有统计学意义（P〈0．05）。结论在逆向撕除翼状胬肉手术中，联合角膜缘干细胞自体移植较联合丝裂霉素C的复发率低。Objective To evaluate the clinical efficacy of two different surgery of primary pterygium. Methods A total of 81 eyes of 65 patients with pterygiums were divided into two groups. All the eases used reverse method to dilacerate pterygium firstly. Mitomyicin C in Group A, while corneal limbal stem cell autograft in Group B. the following up ranged from 12 to 24 months. Results Peteygium recurrence in 7 eyes （ 18.92% ） in Group A （37 eyes） ,in 1 eyes（2.27% ） in group B（44 eyes）. Data was analyzed using Chi-Square testing, there were statistically significant differences between the two groups （ P 〈 O. 05 ）. Conclusion Comparison of two different surgical treatments of pterygium With reverse method. Corneal limbal stem cell autograft can more effectively lower recurrence rate.

关 键 词：翼状胬肉 手术 丝裂霉素C 自体移植 角膜缘干细胞 

分 类 号：R779.6[医药卫生—眼科]