引用本文:魏英丽,朱洪燕.不同术式羊膜移植治疗翼状胬肉的临床效果探讨[J].中国临床新医学,2019,12(9):993-996.
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不同术式羊膜移植治疗翼状胬肉的临床效果探讨
魏英丽,朱洪燕
065201 河北,三河市燕郊二三医院眼科
摘要:
[摘要] 目的 探讨不同术式羊膜移植治疗翼状胬肉的临床效果。方法 收集2016-02~2017-03该院收治的150例150眼翼状胬肉患者资料,随机分为观察组和对照组,各75例(眼)。观察组的手术方式为翼状胬肉切除+新羊膜移植术,对照组的手术方式为翼状胬肉切除+常规羊膜移植术。观察两组患者术后临床治疗效果及术后复发情况。结果 两组患者术后未复发患者在术后10 d角膜上皮完全愈合,结膜切口愈合良好。经1年随访,观察组和对照组的治愈率分别为94.7%、70.7%,复发率分别为6.7%、13.3%。两组间比较差异有统计学意义(P<0.05)。结论 采用羊膜移植法治疗翼状胬肉,可保护患者自身结膜完整性、减少损伤、有效提高手术成功率,其中新羊膜移植术操作简便,可推广应用。
关键词:  不同术式羊膜移植法  翼状胬肉  新羊膜移植术  临床效果
DOI:10.3969/j.issn.1674-3806.2019.09.16
分类号:R 779
基金项目:
Clinical study of different methods of amniotic membrane transplantation in treatment of pterygium
WEI Ying-li, ZHU Hong-yan
Department of Ophthalmology, Yanjiao 23 Hospital of Sanhe City, Hebei 065201, China
Abstract:
[Abstract] Objective To explore the clinical effects of different methods of amniotic membrane transplantation on pterygium. Methods From February 2016 to March 2017, 150 patients with pterygium were randomly divided into observation group and control group, with 75 eyes in each group. The operation mode of the observation group was pterygium excision+new amniotic membrane transplantation, while that of the control group was pterygium excision+conventional amniotic membrane transplantation. The clinical curative effect and recurrence were observed in the two groups. Results The corneal epithelium healed completely and the conjunctival incision healed well 10 days after operation in the patients without recurrence after operation in the two groups. After a follow-up of one year, the cure rate was 94.7% and the recurrence rate was 6.7% in the observation group, and 70.7% and 13.3% in the control group, with significant differences between the two groups(P<0.05). Conclusion Amniotic membrane transplantation can protect the integrity of the conjunctiva and reduce its damage and has a high operative successful rate for the patients with pterygium. The new amniotic membrane transplantation method is easy to operate and can be recommended for clinical application.
Key words:  Different methods of amniotic membrane transplantation  Pterygium  New amniotic membrane transplantation  Clinical effect