两种翼状胬肉结膜移植手术美容效果观察  

Cosmetic effect of two kinds of conjunctival transplantation for pterygium

作　　者：尹峥[1] 梅昌贵[1] 夏旭光[1] 李婷[1] 郝琦琦[1] 李小影[1] 李林[1] 

机构地区：[1]遵义医学院第五附属珠海医院眼科,广东珠海519100

出　　处：《中华眼外伤职业眼病杂志》2013年第5期372-374,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨最佳美容效果的翼状胬肉切除联合结膜移植方法。方法原发性翼状胬肉病人102例（110眼）随机分为A和B两组，A组行翼状胬肉切除联合带蒂结膜瓣转位，B组行翼状胬肉逆行撕除联合角膜缘干细胞游离结膜瓣移植术，手术后随访24个月，统计比较两种翼状胬肉手术的复发率及美容效果。结果两组复发率差异无统计学意义（P〉0．05），美容效果统计学分析，两组差异有统计学意义（P〈0．05）。结论逆行胬肉切除联合角膜缘干细胞结膜瓣移植术较顺行胬肉切除联合带蒂结膜瓣转位术有较好的美容效果。Objective To study the best cosmetic effect of pterygium excision combined with con- junctival transplantation. Methods The total of 102 patients （110 eyes） with primary pterygium had been randomly allocated into two groups：group A and group B, who had all received pterygium excision and trans- fer operation for pedical conjunetival transposition were in group A, who had all received pterygium retrograde removed joint limbal stem cells free conjunctival transplantation in group B. All the patients of the two groups had been followed up for 24 months, to compare the surgical recurrence rate and cosmetic effect. Results The recurrence rate in two group had no significant difference（P 〉0. 05） , the cosmetic effect in two group had significant difference by statistical comparative analysis（ P 〈 0.05 ）. Conclusion Pterygium retrograde removed joint limbal stem cells free conjunctival transplantation is more effective than pterygium excision and transfer operation for pedical conjunctival transposition in comsmetic effect.

关 键 词：翼状胬肉 结膜瓣移植术 复发率 美容效果 

分 类 号：R779.6[医药卫生—眼科]