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翼状胬肉两种手术治疗的比较 被引量:4

Comparison of two surgical methods for treating pterygium
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摘要 目的:研究翼状胬肉手术治疗效果。方法:回顾性分析翼状胬肉切除术78例88眼,翼状胬肉切除加自身结膜瓣转位移植术105例120眼。随诊3~12mo,观察并记录不同手术方法术后复发率。结果:行翼状胬肉切除术88眼中,术后3mo复发者3眼,术后6mo复发者6眼,术后9mo复发者10眼,术后12mo复发者3眼。复发率25%(22/88)。行翼状胬肉切除加自身结膜瓣转位移植术120眼中,术后3,6,9,12mo的复发者分别是3,7,11,5眼。复发率22%(26/120)。两种手术方法术后复发率经统计学检验差异无显著性意义(P>0.05)。结论:翼状胬肉手术治疗无论何种方式,均不能完全阻止复发。 AIM: To evaluate the effect of surgical treatments on pterygium. METHODS: The clinical information was retrospectively studied in 88 eyes of 78 patients and 120 eyes of 105 patients, who have undergone pterygiurn excision with self conjunctival flap transplaced transplantation. All of the 183 cases were followed up from 3rno to la. The recurrence rates were examined and recorded. RESULTS: For the 88 eyes having undergone pterygiurn excision, the recurrences were 3 at 3mo, 6 at 6mo, 10 at 9 mo and 3 at la postoperative, with the relapse rate of 25% (22/88). For the 120 eyes having undergone pterygiurn excision with self conjunctival flap transplaced transplantation, the recurrences were 3 at 3rno, 7 at 6rno, 11 at 9rno and 5 at la postoperative, with the relapse rate of 22% (26/120). There were no differences of the relapse rates in patients between the two surgical methods (P〉0.05). CONCLUSION: Neither of the two surgical methods cancompletely hinder the recurrence of pterygium, though the only effective method of treating it is operation.
出处 《国际眼科杂志》 CAS 2005年第4期815-817,共3页 International Eye Science
关键词 翼状胬肉 手术治疗 翼状胬肉切除术 自身结膜瓣转位移植术 角膜散光 眼表疾病 pterygium ophthalmologic surgical procedures treatment outcome relapse
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