翼状胬肉切除联合角膜干细胞移植术后配戴绷带镜的效果评价  被引量:9

Effect of bandage lens after pterygium excision combined with corneal stem cell transplantation

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作  者:徐正同 王劲松 Zheng-Tong Xu;Jin-Song Wang(Department of Ophthalmology,Nanjing Jiangbei People's Hospital,Nantong University,Nanjing 210048,Jiangsu Province,China)

机构地区:[1]南通大学附属南京江北人民医院眼科,中国江苏省南京市210048

出  处:《国际眼科杂志》2018年第11期2103-2105,共3页International Eye Science

摘  要:目的:评价翼状胬肉切除联合角膜干细胞移植术后配戴绷带镜的临床效果。方法:本研究为前瞻性分析,选择2015-08/2018-02入我院行翼状胬肉切除联合角膜干细胞移植术患者110例110眼,随机数字表法将其分为对照组和观察组各55例55眼,对照组术后常规观察,观察组术后配戴绷带镜;采用视觉模拟评分(VAS)比较术后1、3d,1 wk的疼痛情况,采用荧光素钠染色法(FL)评估角膜上皮愈合情况及并发症发生率。结果:观察组术后1、3d,1 wk VAS评分和角膜上皮愈合评分均明显低于对照组,差异均有统计学意义(P<0. 05)。两组并发症发生率比较,差异无统计学意义(P>0. 05)。结论:翼状胬肉切除联合角膜干细胞移植术后配戴绷带镜有较好的应用安全性和有效性,可减轻胬肉手术后疼痛,促进上皮愈合。AIM: To evaluate the clinical effect of wearing bandagelens after pterygium excision combined with corneal stemcell transplantation. METHODS: This study was a prospective analysis.Totally 110 cases 110 eyes of pterygium excision combinedwith corneal stem cell transplantation admitted to ourhospital from August 2015 to February 2018 were randomlydivided into control group and observation group with 55cases in each group. Patients in observation group worebandage lens after operation. Visual analogue scale(VAS) was used to evaluated the pain 1, 3d and 1wk afteroperation. Fluorescein staining (FL) was used to evaluatethe corneal epithelial healing and the incidence ofcomplications.RESULTS: The VAS score and corneal epithelial healingscore of the observation group were significantly lowerthan those of the control group at 1, 3d and 1wk afteroperation ( P 〈 0. 05 ). There was no difference in theincidence of complications between the two groups ( P 〉0. 05).CONCLUSION: It is safe and effective to wear bandagelens after pterygium excision combined with corneal stemcell transplantation. It can relieve pain and promoteepithelial healing after pterygium operation.

关 键 词:翼状胬肉 角膜干细胞 绷带镜 视觉模拟评分 荧光素钠染色 

分 类 号:R779.6[医药卫生—眼科]

 

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