羊膜移植联合广泛切除术治疗翼状胬肉的疗效分析  

Clinical Analysis of Amniotic Membrane Transplantation Combined with Extensive Excision for Pterygium

作　　者：孙玉亮[1] 张云[1] 王斌[1] SUN Yu-liang,ZHANG Yun,WANG Bin(Department of Ophthalmology,Lianyungang Oriental Hospital,Lianyungang 222042,Jiangsu, China)

机构地区：[1]连云港市东方医院眼科

出　　处：《中国美容医学》2018年第6期39-42,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析羊膜移植联合广泛翼状胬肉切除术治疗翼状胬肉的美容及预后效果。方法:选择2013年3月-2017年3月笔者医院收治的80例翼状胬肉患者为研究对象,随机分为观察组和对照组,每组40例。其中对照组41眼,采用单纯广泛翼状胬肉切除术治疗;而观察组43眼,在对照组基础上,给予羊膜移植术治疗。比较两组患者治疗效果、护理满意度及并发症发生情况等。结果:观察组治愈率为95.3%明显高于对照组的53.7%,而复发率(4.7%)显著低于对照组(46.3%),差异具有统计学意义(P<0.05)。观察组总满意度为92.5%显著高于对照组的77.5%,差异有统计学意义(P<0.05)。观察组并发症发生率(巩膜溶解软化、巩膜坏死)明显低于对照组,差异具有统计学意义(P<0.05)。结论:羊膜移植联合广泛翼状胬肉切除术治疗翼状胬肉效果显著,可大大提高护理满意度,改善患者美容效果,在临床中值得应用推广。Objective To study beauty and prognosis effect in pterygium patients by amniotic membrane transplantation combined with extensive pterygium resection. Methods 80 cases of patients with pterygium were divided into the observation group（40 cases） and the control group（40 cases） from March 2013 to March 2017. The control group was given simple extensive pterygium excision, while the observation group was received amniotic membrane transplantation. Treatment effect, nursing satisfaction and beauty effect of two groups were compared. Results The cure rate of the observation group was 95.3%, which was significantly higher than that of the control group（53.7%）, while the recurrence rate（4.7%） was significantly lower than that of the control group（46.3%）, and the differences were statistically significant（P〈0.05）. The total satisfaction rate of the observation group was 92.5%, which was significantly higher than that of the control group（77.5%, P〈0.05）. The incidence of complications（scleral lysis and scleral necrosis） in the observation group was significantly lower than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion Amniotic membrane transplantation combined with pterygium excision is very effective in the treatment of pterygium, which can greatly improve the satisfaction of nursing and improve the cosmetic effect of the patients. It is worthy of application in clinical practice.

关 键 词：羊膜移植术 广泛翼状胬肉切除术 美容效果 结膜 

分 类 号：R622[医药卫生—整形外科]