CAJ | 학술논문

目的探讨新鲜羊膜与生物羊膜移植治疗复发性翼状胬肉的治疗的效果.方法对符合纳入标准的复发性翼状胬肉患者,按常规方法切除胬肉组织,共60只眼,随机分为2组,每组30例,分别采用新鲜羊膜移植(A组)和生物羊膜移植(B组)治疗.术后1天、1周、1个月、3个月随访,观察并比较2组视力、植片成活、并发症发生情况.结果 2组术后视力较术前均有明显提高,差异有统计学意义(P＜0.05)；A组术后角膜上皮平均于(6.19±0.65)天愈合,B组术后角膜上皮平均于(6.22±0.63)天愈合,差异无统计学意义(P＞0.05).A组术后1眼复发,复发率为3.33％,B组术后2眼复发,复发率为6.67％,差异无统计学意义(P＞0.05).结论新鲜羊膜与生物羊膜均可有效治疗复发性翼状胬肉,二者疗效比较差异无统计学意义.
목적 탐토신선양막여생물양막이식치료복발성익상노육적치료적효과.방법 대부합납입표준적복발성익상노육환자,안상규방법절제노육조직,공60지안,수궤분위2조,매조30례,분별채용신선양막이식(A조)화생물양막이식(B조)치료.술후1천、1주、1개월、3개월수방,관찰병비교2조시력、식편성활、병발증발생정황.결과 2조술후시력교술전균유명현제고,차이유통계학의의(P＜0.05)；A조술후각막상피평균우(6.19±0.65)천유합,B조술후각막상피평균우(6.22±0.63)천유합,차이무통계학의의(P＞0.05).A조술후1안복발,복발솔위3.33％,B조술후2안복발,복발솔위6.67％,차이무통계학의의(P＞0.05).결론 신선양막여생물양막균가유효치료복발성익상노육,이자료효비교차이무통계학의의.
Objective To discuss recurrent pterygium effectiveness of fresh amnion vs biological amnion transplantation.Methods All eyes received the same antibiotics and anti-inflammation eye drops after operation.Forty cases with pterygium (60 eyes) were randomly divided into two groups,and every group had 30 eyes.One group received transplantation of fresh amnion followed by excision of pterygium,and the other group was subjected to biological amnion transplantation followed by excision of pterygium.All patients were followed up for 1 day,1 week,1 month,3 months after surgery,and the visual acuity,graft survival,complications were observed and compared.Resuits The postoperative visual acuity of both groups improved significantly (P ＜0.05).The corneal epthellium healing was at (6.19±0.65) day in the fresh amnion group,while at (6.22±0.63) day in the biological amnion group.The differences were not statistical significant between two groups (P ＞0.05).One eye recurrence was noted in the fresh amnion group,the recurrence rate was 3.33％.Two eyes recurrence were noted in the biological amnion group,the recurence rate was 6.67％.The differences were not statistical significant between two groups (P ＞0.05).Conclusions Both flesh amnion and biological amnion transplantation can be effective for the treatment of recurrent pterygium and ocular surface reconstruction,the efficacy has no significant difference between the two methods.