国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
1期
169-171
,共3页
翼状胬肉%角膜缘干细胞移植术%视力水平%散光程度%影响因素
翼狀胬肉%角膜緣榦細胞移植術%視力水平%散光程度%影響因素
익상노육%각막연간세포이식술%시력수평%산광정도%영향인소
?KEYWORDS:pterygium%limbal stem cell transplantation%visual acuity%astigmatism degree%effect factor
目的：：研究翼状胬肉切除联合角膜缘干细胞移植术对患者视力和屈光状态的影响。方法：将2012-03/2014-05期间我院收治的翼状胬肉患者120例178眼纳入研究对象,根据治疗方法不同分为观察组60例90眼和对照组60例88眼,观察组患者接受翼状胬肉切除联合角膜缘干细胞移植术治疗,对照组患者接受翼状胬肉切除术治疗,比较两组患者的视力水平、散光程度,分析年龄因素、工作环境以及内直肌止端距角膜缘距离对术后视力恢复情况的影响。结果：术前两组患者的视力水平、散光程度无差异(P>0.05)；术后1,2,3,4wk时,观察组患眼视力高于对照组(0.49±0.09 vs 0.34±0.07,0.76±0.11 vs 0.42±0.04,0.95±0.14 vs 0.59±0.08,1.09±0.18 vs 0.74±0.10),散光程度低于对照组(0.96±0.12 vs 1.85±0.28,0.68±0.08 vs 1.51±0.23,0.54±0.08 vs 1.23±0.19,0.42±0.07 vs 0.91±0.14)；年龄≧45岁、室内工作、内直肌止端距角膜缘距离3~5 mm患者的视力水平更高、散光程度更低。结论：翼状胬肉切除术联合角膜缘干细胞移植术治疗有助于改善视力水平和散光程度,且术后视力恢复情况受到年龄因素、工作环境以及内直肌止端距角膜缘距离的影响。
目的：：研究翼狀胬肉切除聯閤角膜緣榦細胞移植術對患者視力和屈光狀態的影響。方法：將2012-03/2014-05期間我院收治的翼狀胬肉患者120例178眼納入研究對象,根據治療方法不同分為觀察組60例90眼和對照組60例88眼,觀察組患者接受翼狀胬肉切除聯閤角膜緣榦細胞移植術治療,對照組患者接受翼狀胬肉切除術治療,比較兩組患者的視力水平、散光程度,分析年齡因素、工作環境以及內直肌止耑距角膜緣距離對術後視力恢複情況的影響。結果：術前兩組患者的視力水平、散光程度無差異(P>0.05)；術後1,2,3,4wk時,觀察組患眼視力高于對照組(0.49±0.09 vs 0.34±0.07,0.76±0.11 vs 0.42±0.04,0.95±0.14 vs 0.59±0.08,1.09±0.18 vs 0.74±0.10),散光程度低于對照組(0.96±0.12 vs 1.85±0.28,0.68±0.08 vs 1.51±0.23,0.54±0.08 vs 1.23±0.19,0.42±0.07 vs 0.91±0.14)；年齡≧45歲、室內工作、內直肌止耑距角膜緣距離3~5 mm患者的視力水平更高、散光程度更低。結論：翼狀胬肉切除術聯閤角膜緣榦細胞移植術治療有助于改善視力水平和散光程度,且術後視力恢複情況受到年齡因素、工作環境以及內直肌止耑距角膜緣距離的影響。
목적：：연구익상노육절제연합각막연간세포이식술대환자시력화굴광상태적영향。방법：장2012-03/2014-05기간아원수치적익상노육환자120례178안납입연구대상,근거치료방법불동분위관찰조60례90안화대조조60례88안,관찰조환자접수익상노육절제연합각막연간세포이식술치료,대조조환자접수익상노육절제술치료,비교량조환자적시력수평、산광정도,분석년령인소、공작배경이급내직기지단거각막연거리대술후시력회복정황적영향。결과：술전량조환자적시력수평、산광정도무차이(P>0.05)；술후1,2,3,4wk시,관찰조환안시력고우대조조(0.49±0.09 vs 0.34±0.07,0.76±0.11 vs 0.42±0.04,0.95±0.14 vs 0.59±0.08,1.09±0.18 vs 0.74±0.10),산광정도저우대조조(0.96±0.12 vs 1.85±0.28,0.68±0.08 vs 1.51±0.23,0.54±0.08 vs 1.23±0.19,0.42±0.07 vs 0.91±0.14)；년령≧45세、실내공작、내직기지단거각막연거리3~5 mm환자적시력수평경고、산광정도경저。결론：익상노육절제술연합각막연간세포이식술치료유조우개선시력수평화산광정도,차술후시력회복정황수도년령인소、공작배경이급내직기지단거각막연거리적영향。
Abstract? AlM: To study the effect of pterygium excision combined with limbal stem cell on visual acuity and refractive status.?METHODS:A total of 120 cases ( 178 eyes ) pterygium cases were enrolled in our hospital from March 2012 to May 2014 and divided into observation group ( 60 cases, 90 eyes) and control group (60 cases, 88 eyes) according to different treatment methods. Patients in observation group received pterygium excision combined with limbal stem cell transplantation, those in control group received pterygium excision. Vision levels, astigmatism degrees were compared. The effects of age, working environment and medial rectus muscle insertion distance from corneal limbus on postoperative visual acuity were analyzed.? RESULTS: Before operation, acuity levels and astigmatism degrees of two groups had no difference ( P>0. 05 ); 1, 2 , 3, 4wk after operation, visual acuity in observation group were higher than that in control group (0.49±0.09 vs 0.34±0.07, 0.76±0.11 vs 0.42±0.04, 0.95± 0. 14 vs 0. 59±0. 08, 1. 09±0. 18 vs 0. 74±0. 10), astigmatism degrees were lower than that in control group (0. 96±0. 12 vs 1. 85±0. 28, 0. 68±0. 08 vs 1. 51±0. 23, 0. 54±0. 08 vs 1. 23± 0.19,0.42±0.07 vs 0.91±0.14); visual acuity of patients older than 45 years old, indoor work, medial rectus muscle insertion distance from corneal limbus 3-5 mm were higher, astigmatism degrees were lower.?CONCLUSlON:Pterygium excision combined with limbal stem cell transplantation is helpful to improve visual acuity and astigmatism degree; recovery of visual acuity is affected by age, working environment and medial rectus muscle insertion distance from corneal limbus.
