两种手术方法治疗翼状胬肉术后复发及角膜干凹斑的对比分析  

Efficacy of two different surgical procedures on the postoperative recurrence of pterygium and occurrence of corneal dellen

作　　者：廖晓燕[1] 颜建华[2] 

机构地区：[1]广东省梅州市人民医院眼科,广东梅州514031 [2]中山大学中山眼科中心,广东广州510060

出　　处：《中国现代医生》2015年第3期84-86,共3页China Modern Doctor

摘　　要：目的分析比较两种手术方法治疗翼状胬肉术后胬肉复发率及角膜干凹斑发生率。方法回顾性分析单纯翼状胬肉切除术患者35例,翼状胬肉切除联合游离自体球结膜瓣移植术患者38例,随诊半年以上,观察两组患者术后胬肉复发和角膜干凹斑的发生情况。结果单纯切除组患者35例中胬肉复发有9例(25.71%),发生角巩膜干凹斑7例(20.0%);结膜瓣移植组患者38例中胬肉复发的有2例(5.26%),发生角巩膜干凹斑1例(2.63%),差异均有统计学意义(P<0.05)。结论翼状胬肉切除联合游离自体球结膜瓣移植术是安全有效的手术方式,能够有效减少术后胬肉复发及角膜干凹斑的发生。Objective To analyze the efficacy of two different surgical techniques on the postoperative recurrence of pterygium and occurrence of corneal dellen. Methods Thirty-five cases underwent pterygium excision surgery only, and 38 eases were treated by conjunctival autograft transplantion for the treatment of primary pterygium, and they were fol-lowed up for more than half a year. The incidence of postoperative recurrence of pterygium and occurrence of corneal dellen was observed. Results Pterygium recurred in 9 cases （25.71%） in simple excision group,2 cases （5.26%） in conjunctival flap transplantion group, with significant difference statistically （P〈0.05）. Corneal dellen occurrenced in 7 cases （20.0%） in simple excision group,1 cases （2.63%） in conjunctival flap transplantion group, also showed signifi cant difference between the two groups（P〈0.05）. Conclusion Compared with the simple pterygium excision, the con-junctival autograft transplantion for the treatment of primary pterygium seems to be efficient for the reduction of ptery-gium recurrence and occurrence of corneal dellen.

关 键 词：翼状胬肉 复发 角膜干凹斑 

分 类 号：R779.6[医药卫生—眼科]