自体角膜缘与结膜移植治疗复发性翼状胬肉  

Recurrent pterygium treated by limbal epithelial autograft transplantation and conjunctival autograft transplantation

作　　者：胡竹林[1] 郭玉敏[2] 

机构地区：[1]济医科大学附属同济医院眼科,武汉430030 [2]云南省红十字会医院眼科

出　　处：《眼科研究》2000年第4期356-357,共2页Chinese Ophthalmic Research

摘　　要：目的比较自体角膜缘与结膜移植治疗复发性翼状胬肉的疗效。方法复发性翼状胬肉病人９４例（１１５眼）随机分为Ａ，Ｂ两组，Ａ组４７例（５６眼），Ｂ组４７例（５９眼）。手术显微镜下切除胬肉后Ａ组行自体角膜缘移植术，Ｂ组行自体球结膜移植术。观察术后植片生长、角膜创面修复、角膜新生血管及胬肉复发率。结果术后植片成活时间３～５天（平均３．７５天）；术后角膜创面修复时间Ａ组较Ｂ组快（Ｐ＜０．０５）。角膜新生血管Ａ组较Ｂ组少。术后１２个月胬肉复发率Ａ组（３．８％）较Ｂ组（２５．９％）低（Ｐ＜０．０１）。结论治疗复发性翼状胬肉自体角膜缘移植较结膜移植疗效好。Objective To compare the therapeutic effect of limbal epithelial autograft transplantation with that of conjunctival autograft transplantation on the treatment of recurrent pterygium. Methods 94 cases (115 eyes ) of patients with recurrent pterygium were randomly divided into two groups: group A (47 cases, 56 eyes ) and group B (47 cases, 59 eyes ). After resecting pterygium under operating microscope, limbal epithelial autograft transplantation and conjunctival autograft transplantation were performed on group A and group B, respectively. The graft growth, corneal epithelial healing, corneal neovascularization and recurrent rate of pterygium were observed after operation. Results Graft survived 3-5 d(mean 3.75 d) after operation. Corneal epithelial healed faster in group A than group B(P<0.05). Corneal neovascularization in group A was less than that in group B. Pterygium recurrent rate of group A (3. 8%) was lower than that of group B (25.9%) on 12 months after operation (P<0.01). Conclusion Compared with conjunctival autograft transplantation, limbal epithelial autograft transplantation has a better effect on the treatment of recurred pterygium.

关 键 词：自体角膜缘移植 自体结膜移植 复发性翼状胬肉 

分 类 号：R777.3[医药卫生—眼科]