中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2015年
4期
303-306
,共4页
切除术,翼状胬肉%并发症%肉芽肿,筋膜%自体移植,结膜
切除術,翼狀胬肉%併髮癥%肉芽腫,觔膜%自體移植,結膜
절제술,익상노육%병발증%육아종,근막%자체이식,결막
Excision,pterygium%Complication%Granuloma,fascial%Autografting,conjunctival
目的 探讨翼状胬肉切除术后并发眼球筋膜肉芽肿的原因、临床表现及治疗方法.方法 回顾性分析21例(21眼)翼状胬肉切除术后并发筋膜肉芽肿的临床特点,治疗组11例行筋膜肉芽肿切除+自体结膜瓣移植术,对照组10例行筋膜肉芽肿切除术未行结膜移植,其余治疗方法同治疗组.对两组资料进行临床分析.结果 21例切除的筋膜肉芽肿病理切片检查为炎性肉芽组织,细菌培养结果提示未见细菌生长.治疗组11例未见筋膜肉芽肿复发,随访12个月未见翼状胬肉复发;对照组4例术后2～3周筋膜肉芽肿复发,再次手术行肉芽肿切除+自体结膜瓣移植术,6例术后第3周结膜创口仍轻度充血、增厚,随访12个月,筋膜肉芽肿未见复发,但4例翼状胬肉复发.结论 筋膜肉芽肿切除+自体结膜瓣移植术治疗翼状胬肉切除术后并发筋膜肉芽肿是安全有效的,而且取材方便,并可降低翼状胬肉复发率.
目的 探討翼狀胬肉切除術後併髮眼毬觔膜肉芽腫的原因、臨床錶現及治療方法.方法 迴顧性分析21例(21眼)翼狀胬肉切除術後併髮觔膜肉芽腫的臨床特點,治療組11例行觔膜肉芽腫切除+自體結膜瓣移植術,對照組10例行觔膜肉芽腫切除術未行結膜移植,其餘治療方法同治療組.對兩組資料進行臨床分析.結果 21例切除的觔膜肉芽腫病理切片檢查為炎性肉芽組織,細菌培養結果提示未見細菌生長.治療組11例未見觔膜肉芽腫複髮,隨訪12箇月未見翼狀胬肉複髮;對照組4例術後2～3週觔膜肉芽腫複髮,再次手術行肉芽腫切除+自體結膜瓣移植術,6例術後第3週結膜創口仍輕度充血、增厚,隨訪12箇月,觔膜肉芽腫未見複髮,但4例翼狀胬肉複髮.結論 觔膜肉芽腫切除+自體結膜瓣移植術治療翼狀胬肉切除術後併髮觔膜肉芽腫是安全有效的,而且取材方便,併可降低翼狀胬肉複髮率.
목적 탐토익상노육절제술후병발안구근막육아종적원인、림상표현급치료방법.방법 회고성분석21례(21안)익상노육절제술후병발근막육아종적림상특점,치료조11례행근막육아종절제+자체결막판이식술,대조조10례행근막육아종절제술미행결막이식,기여치료방법동치료조.대량조자료진행림상분석.결과 21례절제적근막육아종병리절편검사위염성육아조직,세균배양결과제시미견세균생장.치료조11례미견근막육아종복발,수방12개월미견익상노육복발;대조조4례술후2～3주근막육아종복발,재차수술행육아종절제+자체결막판이식술,6례술후제3주결막창구잉경도충혈、증후,수방12개월,근막육아종미견복발,단4례익상노육복발.결론 근막육아종절제+자체결막판이식술치료익상노육절제술후병발근막육아종시안전유효적,이차취재방편,병가강저익상노육복발솔.
Objective To investigate the causes,clinical manifestation and treatment for fascial granuloma after excision of pterygium.Methods Twenty-one eyes of 21 cases with fascial granuloma after excision of pterygium were enrolled in the study.The cases were divided into two groups:11 eyes of 11 cases received granuloma excision and conjunctival autografting (treatment group) and 10 eyes of 10 cases received granuloma excision only (control group).The data of two groups were analyzed.Results The biopsy result of the excisional granuloma in 21 cases were inflammatory granulation tissue,and no bacteria grew in bacterial culture.Patients were followed up for 12 months.There was no recurrence in the treatment group.Granuloma relapsed in 4 eyes of 4 cases in the control group,and finally the recurrent cases received granuloma excision and conjunctival autografting.The conjunctival wounds in 6 eyes of 6 cases were mild congestive and incrassated 3 weeks after the operation.After following up for 12 months,no granuloma recurred but pterygium recurred in 4 eyes of 4 cases in control group.Conclusion Fascial granuloma excision with conjunctival autografting is a safe,effective and easy method in treating fascial granuloma after excision of pterygium,and can decrease the recurrence of pterygium.
