CAJ | 학술논문

目的研究人纤维蛋白胶对翼状胬肉术后结膜瓣的影响.方法临床病例对照研究.对2011年11月至2012年12月在深圳市眼科医院就诊的40例翼状胬肉患者实施翼状胬肉切除术+结膜瓣移植术,A组患者(20例)术中应用人纤维蛋白胶粘合移植结膜瓣,B组患者(20例)直接缝合结膜瓣,术后7d拆线后采用眼前段OCT(AS-OCT)直接观察结膜瓣植片并测量结膜瓣厚度,2组数据进行统计学检验.结果 A组(应用人纤维蛋白胶组)患者结膜瓣的平均厚度为(437.80±38.70) μm,结膜瓣下出血率为5％;B组(单纯缝合组)患者结膜瓣的平均厚度为(631.95±44.97)μm,结膜瓣下出血率为55％,P＜0.05,差异有统计学意义.结论在翼状胬肉术中采用纤维蛋白胶部分替代缝线,固定自体移植的球结膜瓣,能缩短手术时间,减轻术后结膜瓣出血、水肿的程度.AS-OCT能直接测量术后结膜瓣的厚度,从而间接了解结膜瓣水肿的程度.
목적 연구인섬유단백효대익상노육술후결막판적영향.방법 림상병례대조연구.대2011년11월지2012년12월재심수시안과의원취진적40례익상노육환자실시익상노육절제술+결막판이식술,A조환자(20례)술중응용인섬유단백효점합이식결막판,B조환자(20례)직접봉합결막판,술후7d탁선후채용안전단OCT(AS-OCT)직접관찰결막판식편병측량결막판후도,2조수거진행통계학검험.결과 A조(응용인섬유단백효조)환자결막판적평균후도위(437.80±38.70) μm,결막판하출혈솔위5％;B조(단순봉합조)환자결막판적평균후도위(631.95±44.97)μm,결막판하출혈솔위55％,P＜0.05,차이유통계학의의.결론 재익상노육술중채용섬유단백효부분체대봉선,고정자체이식적구결막판,능축단수술시간,감경술후결막판출혈、수종적정도.AS-OCT능직접측량술후결막판적후도,종이간접료해결막판수종적정도.
Objective To research the effect of human fibrin glue on the conjunctival flap graft of pterygium excision.Methods The patients with pterygium were operated with pterygium excision and conjunctival flap transplantation.Group A were transplanted with conjunctival flap adhesive application of human fibrin glue,group B were sutured conjunctival flap directly.After 7 days of taking out stitches,the conjunctival flap graft were observed and measured by anterior segment OCT (AS-OCT).The data were tested statistically.Results The average thickness of conjunctival flap of group A were 437.80±38.70□ m,conjunctival hemorrhage rate was 5％; that of group B were 631.95± 44.97um and 55％ (P ＜0.05),with statistical significance.Conclusions The conjunctival flaps of autologous transplantation are fixed by using human fibrin glue instead of sutures in pterygium surgery partially.It can shorten operation time,reduce edema and bleeding under conjunctival flap postoperatively.AS-OCT can directly measure the thickness of conjunctival flap after operation; thereby indirectly know the degree of the conjunctival edema.