远期追踪观察翼状胬肉三种手术方式的复发率  

Long-term follow-up on the recurrence rate of three surgical techniques for pterygium

作　　者：钟蕾[1] 张晓峰[1] 付心怡[1] 殷亦聪 

机构地区：[1]苏州大学附属第一医院眼科,苏州215006

出　　处：《中华眼外伤职业眼病杂志》2016年第2期96-99,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的比较翼状胬肉巩膜暴露术、角膜缘干细胞移植术及羊膜移植术3种手术方式远期观察的复发率。方法回顾性分析2007年1月至2010年12月间我科115例（126只跟）翼状胬肉手术病例，比较3种手术方式远期复发率。结果术后随访4—8年，126只眼翼状胬肉手术有25只眼复发，复发率19．84％。其中，角膜缘干细胞移植术组58只眼术后6只眼复发，复发率10．34％，低于巩膜暴露术组的复发率28．57％（35只眼术后10只眼复发）（x^2=5．091，P=0．024），并低于羊膜移植术组的复发率27．27％（33只眼术后9只眼复发）（x^2=4．378，P=0．036）；而巩膜暴露术组与羊膜移植术组的复发率差异无统计学意义（x^2=0．014，P=0．905）。结论3种手术方式远期比较，角膜缘干细胞移植术的复发率最低。Objective To compare the long-term recurrence rates of the three different surgical techniques including bare sclera technique （BST） , limbal stem cells autograft transplant technique （LCAT） and amniotic membrane graft transplant technique （AMGT） for pterygium. Methods The clinical data of 126 eyes of 115 patients with pterygium treated by these three different surgical techniques from January 2007 to December 2010 were retrospectively analysed. The Long-term recurrence rates of the three different surgical techniques were compared and statistically analysed. Results After the follow-up of 4-8 years, the recurrent pterygium was detected in 10 eyes （28.57%） in BST, 6 eyes （10.34%） in LCAT and 9 eyes （27.27%） in AMGT. The recurrence rate was significantly lower in LCAT than those in BST and AMGT X2 （x^2 = 5. 091 ,P = 0. 024; = 4. 378, P = 0. 036 ）. But the difference in the recurrence rate between BST and AMGT was not statistically significant （x^2 = 0. 014, P = 0. 905 ）. Conclusion LCAT is a more effective technique than BST and AMGT for pterygium with decreased recurrence rate.

关 键 词：翼状胬肉 巩膜暴露术 干细胞移植术 羊膜移植术 复发率 远期随访 

分 类 号：R779.6[医药卫生—眼科]