自体结膜瓣转位移植术治疗翼状胬肉的临床观察.docVIP

精品论文 参考文献 自体结膜瓣转位移植术治疗翼状胬肉的临床观察 杜慧斌 胡卜丹 卢建群 　　（乐山市人民医院眼科 四川 乐山 614099） 　　【摘要】 目的：评估自体结膜瓣转位移植术治疗翼状胬肉的临床效果。方法：将我院自2012年1月～2014年1月收治的80例（90眼）翼状胬肉患者作为研究对象，按照随机数字表法将其分为对照组与观察组两组，对照组40例（44眼），给予同侧眼上方游离结膜瓣移植术治疗，观察组40例（46眼），给予自体结膜瓣转位移植术治疗，观察两组患者的治疗效果，同时对患者实施为期1年的随访调查，统计复发率。结果：观察组治愈30眼，显效13眼，整体治疗有效率高达93.5%，明显高于对照组的72.7%，组间对比差异有统计学意义（P＜0.05）；观察组半年复发3例，3眼，占6.5%，一年复发4例，5眼，占10.9%，观察组半年及一年复发率均低于对照组（P＜0.05）。结论：采取自体结???瓣转位移植术操作相对简单，疗效显著，且患者术后复发率较低，值得推广。 　　【关键词】翼状胬肉；自体结膜瓣转位移植术；疗效；复发 　　【中图分类号】R779.6 【文献标识码】A 【文章编号】2095-1752（2016）14-0136-02 　　 　　Clinical observation of autologous conjunctival flap transplantation in treatment of pterygium 　　Du Huibin, Hu Budan, Lu Jianqun 　　Department of Ophthalmology, Leshan Peoples Hospital, Leshan 614099 　　【Abstract】 Objective To evaluate the clinical effect of autologous conjunctival flap transplantation in treatment of pterygium. Methods 80 patients (90 eyes)of pterygium patients admitted in our hospital from January 2012 - January 2014 year as the research objects, were randomly divided into the control group and the observation group, the control group of 40 cases (44 eyes) was given the ipsilateral eye above the free transplantation of conjunctival flap treatment, observation group of 40 cases (46 eyes)was given the autologous conjunctival flap transposition grafting treatment, observed treatment effect in patients of two groups, implementation 1 years follow-up of patients and recorded recurrence rate. Results In observation group, 30 eyes were cured, markedly effective in 13 eyes；Half recurrence of observation group in 3 cases, 3 eyes, accounting for 6.5%, 4 cases recurrence in one year, 5 eyes, accounting for 10.9%, half year and one year recurrence rate in observation group was lower than the control group (P lt; 0.05). Conclusion The use of autologous conjunctival flap transposition grafting is worth of popularization. 　　【Key words】 Pterygium; Conjunctival flap transplantation; Curative effect; Re