CAJ | 학술논문

目的探讨生物羊膜移植治疗复发性翼状胬肉的效果.方法复发性翼状胬肉136例(136眼),随机分为两组,每组68例(68眼).试验组行翼状胬肉切除+生物羊膜移植术,对照组行翼状胬肉切除巩膜暴露术.术后随访6个月至2年.手术由同一人操作.结果试验组较对照组角膜上皮愈合快.试验组4眼术后3月内复发(复发率5.88％).对照组28眼术后不等时间翼状胬肉复发(复发率41.17％).试验组复发率低于对照组(P＜0.05).结论生物羊膜移植治疗复发性翼状胬肉复发率低,角膜创面修复快.是一种理想的手术方法.
목적 탐토생물양막이식치료복발성익상노육적효과.방법 복발성익상노육136례(136안),수궤분위량조,매조68례(68안).시험조행익상노육절제+생물양막이식술,대조조행익상노육절제공막폭로술.술후수방6개월지2년.수술유동일인조작.결과 시험조교대조조각막상피유합쾌.시험조4안술후3월내복발(복발솔5.88％).대조조28안술후불등시간익상노육복발(복발솔41.17％).시험조복발솔저우대조조(P＜0.05).결론 생물양막이식치료복발성익상노육복발솔저,각막창면수복쾌.시일충이상적수술방법.
Objective To abserve the cilinical effect of recurrent pterygium treated by biological amniotic membrane transplantation.Methods Recurrent pterygium 136cases(136eyes) were randomly divided into two groups,every group contained 68 cases(68eyes).Experimental group were treated by pterygium surgery + amniotic membrane transplantation.Contrasted group were treated by pterygium surgery and sclera exposed.The post operative follow - up period was 6 to 24 months.All cases treated by the same operater.Results the epithelial recovering time of experimental group was rapider than contrasted group′s.4cases(4eyes) were recurrent in the experimental group in 3 months(the recurrent rate was 5.28％ ).28cases(28eyes) recurrence were noted in contrasted group( the recurrent rate was 1.17％ ).There was statistical significant difference between two groups( P =0.0186 ＜ 0.05 ).Conclusion Amniotic membrane transplantation can decrease the recurrent rate,improve epithelial recovering time of coneal wound.It is an ideal method of recurrent pterygium surgery.