广泛切除结合羊膜移植治疗复发性翼状胬肉的美学效果分析  

Analysis of Cosmetic Effects of Extensive Resection Combined with Amniotic Membrane Transplantation for Patients with Recurrent Pterygium Undergoing

作　　者：邱志方[1] 向楠 QIU Zhi-fang;XIANG Nan(Cataract Qingguang Ophthalmology,Ayer Eye Hospital,Xiangyang 441002,Hubei,China;Operating Room,Ayer Eye Hospital,Xiangyang 441002,Hubei,China)

机构地区：[1]湖北省襄阳市爱尔眼科医院白内障青光眼科,湖北襄阳441002 [2]湖北省襄阳市爱尔眼科医院手术室,湖北襄阳441002

出　　处：《中国美容医学》2019年第7期8-10,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究广泛切除结合羊膜移植对复发性翼状胬肉患者治疗情况以及美容效果,为患者的临床治疗提供参考。方法:选择笔者医院2016年4月-2018年4月收治的100例复发性翼状胬肉患者作为本次研究对象,按照患者入院ID号进行随机分组,分为观察组和对照组,每组各50例。对照组采取广泛翼状胬肉切除术进行治疗,观察组在对照组基础上结合羊膜移植手术进行治疗,分析两组患者术后美容效果以及临床疗效。结果:观察组患者治疗后影响美观的不良事件发生率为4.0%,明显低于对照组的36.0%,差异具有统计学意义(P<0.05);观察组患者术后复发6例,复发率为12.0%,明显低于对照组的36.0%(18/50),差异具有统计学意义(P<0.05)。结论:广泛翼状胬肉切除术结合羊膜移植手术治疗复发性翼状胬肉效果显著,能有效改善患者美容效果,值得在临床治疗中广泛应用。Objective To explore the treatment and cosmetic effects of extensive resection combined with amniotic membrane transplantation for patients with recurrent pterygium, and to provide reference for clinical treatment of patients. Methods 100 patients with recurrent pterygium admitted to our hospital from April 2016 to April 2018 were selected as the study subjects. Patients were randomly divided according to the patient admission ID number,and the patients were divided into the observation group and the control group, 50 cases in each group.The patients in the control group were treated with extensive pterygium excision. The observation group was treated with amniotic membrane transplantation on the basis of the control group. The postoperative cosmetic effects and clinical efficacy were analyzed. Results The incidence of adverse events affecting aesthetics in the observation group was 4.0%, which was significantly lower than that in the control group (36.0%),the difference between the two groups was statistically significant (P <0.05).In the observation group, 6 patients relapsed after surgery, the recurrence rate was 12.0%, which was significantly lower than that of the control group (36.0%, P <0.05). Conclusion Extensive pterygium resection combined with amniotic membrane transplantation for the treatment of recurrent pterygium is effective, can effectively improve the cosmetic effect of patients, and is worthy of wide application in clinical treatment.

关 键 词：复发性翼状胬肉 翼状胬肉切除术 羊膜移植 临床疗效 面部美观 不良反应 

分 类 号：R622[医药卫生—整形外科]