羊膜移植与自体结膜移植对翼状胬肉手术患者视觉质量角膜屈光及泪膜功能的效果观察  

Effect of Amniotic Membrane Transplantation and Autologous Conjunctival Transplantation on Visual Quality Corneal Refraction and Tear Film Function in Patients with Pterygium Surgery

作　　者：万美玲 WAN Meiling(Aier Eye Hospital of Langfang,Langfang Hebei 065000)

机构地区：[1]廊坊市爱尔眼科医院,河北廊坊065000

出　　处：《智慧健康》2024年第2期33-36,共4页Smart Healthcare

摘　　要：目的 本文对羊膜移植与自体结膜移植对翼状胬肉手术患者视觉质量角膜屈光及泪膜功能的效果展开简要分析与探讨。方法 将2020年10月—2022年10月在本院行翼状胬肉手术的100例患者作为研究对象,根据治疗方式不同分为2组,每组50例。其中,观察组采取羊膜移植治疗方式完成治疗,对照组采取自体结膜移植治疗,对比两组患者视觉质量角膜屈光及泪膜功能、治疗满意度及治疗后并发症发生率。结果 治疗前,两组患者视觉质量角膜屈光及泪膜破裂时间无明显差异(P>0.05);治疗后1个月,观察组患者角膜屈光度明显低于对照组,观察组患者泪膜破裂时间明显高于对照组,差异具有统计学意义(P<0.05)。观察组患者治疗总满意度明显大于对照组,差异具有统计学意义(P<0.05)。观察组患者治疗后并发症(感染、干眼症及散光)总发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论 羊膜移植手术治疗可大幅提升患者治疗满意度,降低患者治疗后并发症总发生率,提高患者视觉质量减少角膜屈光度,延长泪膜破裂时间。除此之外,还可保持美观,因此,羊膜移植可大大推广并应用于临床治疗。Objective In this paper,the effect of amniotic membrane transplantation and autologous conjunctival transplantation on visual quality of corneal refraction and tear film function in patients with pterygium surgery was briefly analyzed and discussed.Methods All patients undergoing pterygium operation in our hospital were screened,and 100 patients admitted from October 2020to October 2022 were selected as the main objects of this study,and were divided into two groups according to different treatment methods,with 50 cases in each group.The observation group was treated with amniotic membrane transplantation,while the control group was treated with autologous conjunctival transplantation to complete the treatment,by comparing the two groups of patients with visual quality corneal refraction and tear film function,treatment satisfaction and the incidence of complications after treatment,and finally complete the amniotic membrane transplantation and autologous conjunctival transplantation on the visual quality corneal refraction and tear film function of patients with pterygium surgery observation and discussion.Results The corneal refraction and tear film function of the two groups were observed.Before treatment,the corneal refraction and tear film rupture time of the two groups had no significant difference(P>0.05).One month after treatment,the corneal refraction of the observation group was significantly lower than that of the control group,and the tear film rupture time of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05);The treatment satisfaction of the two groups was observed,and the total treatment satisfaction of the observation group was significantly greater than that of the control group,the difference was statistically significant(P< 0.05);The incidence of complications after treatment was observed in the two groups,and the total incidence of complication infection,dry eye and astigmatism in the observation group was signific

关 键 词：羊膜移植与自体结膜移植 自体结膜移植 翼状胬肉手术 视觉质量角膜屈光及泪膜功能 

分 类 号：R779.6[医药卫生—眼科]