CAJ | 학술논문

目的观察比较剖离术与单纯切除联合角膜缘干细胞移植术治疗翼状胬肉的临床疗效.方法 2004年至2006年就诊的翼状胬肉患者122例(143眼),采用单纯随机抽样法分为A、B组,对A组76例(89眼)采用剖离术治疗,B组46例(54眼)采用单纯切除联合角膜缘干细胞移植术治疗,术后均行~(90)Sr照射,比较2组术后复发及角膜混浊情况.结果采用剖离术后(A组)有6眼复发,5眼出现轻度角膜云翳;单纯切除联合角膜缘干细胞移植术后(B组)有4眼复发,13眼出现不同程度的角膜混浊.A组术后角膜混浊发生率(5.62%)低于B组(24.07%),差异有统计学意义(χ~2=10.404,P=0.001).结论剖离术是治疗翼状胬肉的一种简单、安全、复发率及并发症低的有效方法.
목적 관찰비교부리술여단순절제연합각막연간세포이식술치료익상노육적림상료효.방법 2004년지2006년취진적익상노육환자122례(143안),채용단순수궤추양법분위A、B조,대A조76례(89안)채용부리술치료,B조46례(54안)채용단순절제연합각막연간세포이식술치료,술후균행~(90)Sr조사,비교2조술후복발급각막혼탁정황.결과 채용부리술후(A조)유6안복발,5안출현경도각막운예;단순절제연합각막연간세포이식술후(B조)유4안복발,13안출현불동정도적각막혼탁.A조술후각막혼탁발생솔(5.62%)저우B조(24.07%),차이유통계학의의(χ~2=10.404,P=0.001).결론 부리술시치료익상노육적일충간단、안전、복발솔급병발증저적유효방법.
Objective To observe the therapeutic effects of the excise-detaching operation and the corneal limbal stem cell autograft operation. Methods The excise-detaching operation was adopted in 89 eyes with pterygi-um and the corneal limbal stem cell autograft operation was adopted in 54 eyes in the same time. Results There are 6 eyes and 5 eyes which were caught achlys after excise-detaching operation and there are 4 eyes that recurred and 13 eyes whose corneas became opaque in different level after the corneal limbal stem cell autograft operation in the follow-up period. Conclusions The excise-detaching operation is a simple, safe and effective therapy for pterygium and showes recurrent rates and few complications.