不同部位结膜瓣移植治疗翼状胬肉的疗效分析  

Analysis of the Efficacy of Conjunctival Flap Transplantation at Different Sites in the Treatment of Pterygium

作　　者：常志怀 房默文 CHANG Zhihuai;FANG Mowen(Department of Ophthalmology,4 th Division Hospital,Xinjiang Production and Construction Corps,Yining 835000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆生产建设兵团第四师医院眼科,新疆维吾尔自治区伊宁835000

出　　处：《中外医疗》2024年第23期63-66,共4页China & Foreign Medical Treatment

基　　金：第四师可克达拉市科技计划(2023ZH05)。

摘　　要：目的探讨治疗翼状胬肉期间采取不同部位结膜瓣移植的疗效。方法方便选取2023年1—10月新疆生产建设兵团第四师医院收治的68例翼状胬肉手术患者为研究对象,根据使用结膜瓣位置不同分为两组,每组34例。观察组实施翼状胬肉切除加上方游离自体球结膜瓣移植治疗,对照组实施翼状胬肉切除加下方游离自体球结膜瓣移植治疗。比较两组的疗效及复发情况、不同时段患者泪膜功能参数、疼痛评分。结果术后1年,两组的疗效与复发情况比较,差异无统计学意义(P均>0.05)。术前1 d和术后3个月,两组患者泪膜功能相关参数比较,差异无统计学意义(P均>0.05);术后1个月,观察组的非侵入性泪膜破裂时间为(11.92±3.28)s,泪河高度为(0.25±0.11)mm,角膜荧光素染色评分为(2.56±0.70)分,优于对照组,差异有统计学意义(t=2.449、2.608、2.148,P均<0.05)。不同时段,两组患者的疼痛程度评分比较,差异无统计学意义(P均>0.05)。结论两种手术方式的治疗效果相当,但在翼状胬肉手术后的早期,与下方游离自体球结膜瓣比较,上方游离自体球结膜瓣移植的效果更好。Objective To investigate the efficacy of conjunctival flap transplantation at different sites during the treat-ment of pterygium.Methods A total of 68 patients with pterygium surgery admitted to the Corps from January 2023 to October 2023 were conveniently selected as the research objects.They were divided into two groups according to the different location of conjunctival flap,with 34 cases in each group.The observation group was treated with pterygium excision plus square free autologous bulbar conjunctival flap transplantation,and the control group was treated with pterygium excision plus lower free autologous bulbar conjunctival flap transplantation.The efficacy and recurrence,tear film function parameters and pain scores of the two groups were compared.Results One year after operation,there was no significant difference in efficacy and recurrence between the two groups(both P>0.05).There was no signifi-cant difference in tear film function between the two groups at 1 day before operation and 3 months after operation(both P>0.05),one month after surgery,the non-invasive tear film rupture time of the observation group was(11.92±3.28)s,the tear meniscus height was(0.25±0.11)mm,and the corneal fluorescein staining score was(2.56±0.70)points,which were better than those of the control group,and the differences were statistically significant(t=2.449,2.608,2.148,all P<0.05).The was no significant differences in pain score between the two groups at different time paints(all P<0.05).Conclusion The therapeutic effects of the two surgical methods are comparable,but in the early stage after pterygium surgery,compared with the lower free bulbar conjunctival flap,the upper free bulbar conjuncti-val flap transplantation is better.

关 键 词：翼状胬肉 不同部位手术 结膜瓣移植术 疗效 

分 类 号：R777.33[医药卫生—眼科]