翼状胬肉切除术联合自体结膜瓣移植治疗翼状胬肉的临床效果  

Clinical Effect of Pterygium Excision Combined with Autologous Conjunctival Flap Transplantation in Treatment of Pterygium

作　　者：甄耀伦 Zhen Yaolun(Department of Ophthalmology,Taishan People's Hospital,Taishan 529200,Guangdong Province,China)

机构地区：[1]台山市人民医院眼科,广东台山529200

出　　处：《中外医药研究》2024年第6期33-35,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析翼状胬肉切除术联合自体结膜瓣移植治疗翼状胬肉的临床效果。方法:选取2022年1月—2023年3月台山市人民医院收治的翼状胬肉患者60例作为研究对象,按照抽签法随机分为观察组与对照组,各30例。观察组接受翼状胬肉切除术联合自体结膜瓣移植,对照组接受翼状胬肉切除术。比较两组术后恢复情况、泪膜功能、视力水平及屈光度。结果:观察组角膜上皮愈合时间早于对照组,不适感持续时间和住院时间短于对照组,差异有统计学意义(P<0.001)。术前,两组基础泪液分泌试验(SⅠt)、泪膜破裂时间(BUT)比较,差异无统计学意义(P>0.05);术后6个月,两组SⅠt、BUT优于术前,且观察组优于对照组,差异有统计学意义(P<0.05)。术前,两组视力和屈光度比较,差异无统计学意义(P>0.05);术后6个月,两组视力高于术前,且观察组高于对照组,两组屈光度低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:翼状胬肉切除术联合自体结膜瓣移植治疗翼状胬肉的临床效果显著,可促进术后恢复,改善泪膜功能、视力及屈光度。Objective:To analyze the clinical effect of pterygium excision combined with autologous conjunctival flap transplantation in treatment of pterygium.Methods:A total of 60 patients with pterygium were selected as the study objects in Taishan People's Hospital from January 2022 to March 2023,and were randomly divided into the observation group and the control group according to the lottery method,with 30 cases in each group.The observation group received pterygium excision combined with autologous conjunctival flap transplantation,and the control group received pterygium excision.The postoperative recovery,tear film function,visual acuity level and diopter were compared between the two groups.Results:The healing time of corneal epithelium in observation group was earlier than that in control group,and the duration of discomfort and hospitalization was shorter than that in control group,the difference was statistically significant(P<0.001).Before surgery,there was no significant difference in basic tear secretion test(SⅠt)and tear film rupture time(BUT)between two groups(P>0.05).At 6 months after operation,SⅠt and BUT in both groups were better than those before operation,and observation group was better than control group,the difference was statistically significant(P<0.05).Before operation,there was no significant difference in visual acuity and diopter between the two groups(P>0.05).Six months after surgery,the visual acuity of two groups was higher than before surgery,and the observation group was higher than the control group,and the diopter of two groups was lower than before surgery,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:Pterygium excision combined with autologous conjunctival flap transplantation has a remarkable clinical effect in the treatment of pterygium,which can promote postoperative recovery,improve tear film function,visual acuity and diopter.

关 键 词：翼状胬肉 自体结膜瓣移植 泪膜功能 视力 屈光度 

分 类 号：R779.6[医药卫生—眼科]