国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
5期
914-916
,共3页
翼状胬肉%泪膜%胬肉切除术%结膜瓣移植
翼狀胬肉%淚膜%胬肉切除術%結膜瓣移植
익상노육%루막%노육절제술%결막판이식
pterygium%tear film%pterygium excision%autograft of conjunctival flap
目的：探讨翼状胬肉切除联合移植的不同手术方法术后干眼症的情况。<br> 方法：选取翼状胬肉患者78例81眼,随机分成3组, A组：行翼状胬肉切除联合大块自体球结膜瓣移植术；B组：行翼状胬肉切除联合小块自体球结膜瓣移植术；C组：行翼状胬肉切除术联合小块带自体角膜缘干细胞结膜瓣移植术。观察三组患者术后角膜上皮修复时间,术前和术后1,3mo检查泪膜破裂时间(BUT)以及眼表疾病指数(ocular surface disease index,OSDI)问卷调查,来评价翼状胬肉及胬肉切除术后引起干眼症的情况。<br> 结果：BUT：术后15d,A组较B,C组明显缩短(P<0.05),术后1mo,A组与B,C组间无明显差异(P>0.05),但术后1mo时并发干眼症阳性率均较B,C组高(P<0.05)；B,C 组间术后并发干眼症阳性率比较无显著差异( P>0.05),但C组有阳性率低的趋势。上皮修复时间A组较B,C组长(P<0.05)；B,C组间无显著差异(P>0.05),但C组有时间更短的趋势。<br> 结论：胬肉切除联合小块自体角膜缘干细胞移植术术后角膜上皮修复更快,引起干眼症的几率最小,术式最佳。
目的：探討翼狀胬肉切除聯閤移植的不同手術方法術後榦眼癥的情況。<br> 方法：選取翼狀胬肉患者78例81眼,隨機分成3組, A組：行翼狀胬肉切除聯閤大塊自體毬結膜瓣移植術；B組：行翼狀胬肉切除聯閤小塊自體毬結膜瓣移植術；C組：行翼狀胬肉切除術聯閤小塊帶自體角膜緣榦細胞結膜瓣移植術。觀察三組患者術後角膜上皮脩複時間,術前和術後1,3mo檢查淚膜破裂時間(BUT)以及眼錶疾病指數(ocular surface disease index,OSDI)問捲調查,來評價翼狀胬肉及胬肉切除術後引起榦眼癥的情況。<br> 結果：BUT：術後15d,A組較B,C組明顯縮短(P<0.05),術後1mo,A組與B,C組間無明顯差異(P>0.05),但術後1mo時併髮榦眼癥暘性率均較B,C組高(P<0.05)；B,C 組間術後併髮榦眼癥暘性率比較無顯著差異( P>0.05),但C組有暘性率低的趨勢。上皮脩複時間A組較B,C組長(P<0.05)；B,C組間無顯著差異(P>0.05),但C組有時間更短的趨勢。<br> 結論：胬肉切除聯閤小塊自體角膜緣榦細胞移植術術後角膜上皮脩複更快,引起榦眼癥的幾率最小,術式最佳。
목적：탐토익상노육절제연합이식적불동수술방법술후간안증적정황。<br> 방법：선취익상노육환자78례81안,수궤분성3조, A조：행익상노육절제연합대괴자체구결막판이식술；B조：행익상노육절제연합소괴자체구결막판이식술；C조：행익상노육절제술연합소괴대자체각막연간세포결막판이식술。관찰삼조환자술후각막상피수복시간,술전화술후1,3mo검사루막파렬시간(BUT)이급안표질병지수(ocular surface disease index,OSDI)문권조사,래평개익상노육급노육절제술후인기간안증적정황。<br> 결과：BUT：술후15d,A조교B,C조명현축단(P<0.05),술후1mo,A조여B,C조간무명현차이(P>0.05),단술후1mo시병발간안증양성솔균교B,C조고(P<0.05)；B,C 조간술후병발간안증양성솔비교무현저차이( P>0.05),단C조유양성솔저적추세。상피수복시간A조교B,C조장(P<0.05)；B,C조간무현저차이(P>0.05),단C조유시간경단적추세。<br> 결론：노육절제연합소괴자체각막연간세포이식술술후각막상피수복경쾌,인기간안증적궤솔최소,술식최가。
?AlM: To observe the situations of different surgical methods on dry eyes in patients with pterygium excision combined transplantation. <br> ?METHODS: Seventy-eight cases ofpterygium patients (81 eyes ) were randomly divided into three groups. Group A underwent pterygium excision combined large autologous conjunctival flap transplantation; group B underwent pterygium excision combined with small conjunctival flap;group C underwent pterygium excision combined with small conjunctival flap with autologous limbal stem cell. Repair of postoperative corneal epithelium, 1, 3mo preoperation and postoperation tear film break up time ( BUT ) and questionnaire of ocular surface disease index ( OSDl ) were observed among three groups, which caused the situation of dry eyes by pterygium and pterygium excision were evaluated. <br> ?RESULTS: BUT: Group A was shorter than that in groups B and C at 15d postoperation (P<0. 05); at 1mo postoperation, group A was no statistical difference with groups B and C (P>0. 05). Postoperative dry eye ratio of group A was higher than that in groups B and C at 1mo postoperation ( P < 0. 05 ). There was no statistical difference between group B and group C ( P>0. 05 ) , but group C showed lower postoperative dry eye ratio. Corneal epithelium recover time of group A was longer than that in groups B and C (P<0. 05). There was no statistical difference between group B and group C ( P>0. 05), but group C showed a tendency to be shorter recover time. <br> ? CONCLUSlON: Pterygium excision combined with small conjunctival flap and autologous limbal stem cell shows guickly corneal epithelium recover and low dry eye ratio and deserve to recommended.
