不同手术方法对初发性翼状胬肉患者眼表的影响

Influence of different surgical methods on the ocular surface of patients with primary pterygium

目的:评价不同手术方法对初发翼状胬肉患者眼表的影响。方法:将39眼随机分为3组(A,B,C)。A组(13眼)接受单纯翼状胬肉切除术,B组(13眼)接受翼状胬肉切除联合自体干细胞移植术,C组(13眼)接受翼状胬肉切除联合术中应用0.2g/L MMC。对所有眼术前、术后7d;1,3mo进行Schirmer s test和泪膜破裂时间(BUT)检查,然后进行统计学分析。结果:术前、术后3组患者Schirmer s test和BUT检查未见明显异常。结论:经过短期随访,3种不同手术方式对初发翼状胬肉患者的眼表无明显影响。

AIM. To study the influence of different surgical methods on the ocular surface of patients with primary pterygium.METHODS：The total of 39 eyes was included in this study and these eyes were divided into three groups, that is A, B and C, randomly. The eyes in group A were treated with pterygium excision surgery, the eyes in group B were treated with limbal-conjunctival autograft （LCAG） and pterygium excision surgery, the eyes in group C were treated with 0.2g/L mitomycin-C （MMC） and pterygium excision surgery intraoperatively. All of these eyes received Schirmer＇s test with anesthesia （STA） and tear break-up time （BUT） preoperatively and 7 days, 1 month and 3 months postoperatively. RESULTS, No difference was found in the Schirmer and tear BUT tests 7 days, 1 month and 3 months postoperatively vs preoperatively.CONCLUSION： Different surgical methods had little influence on the ocular surface of patients with primary pterygium during short-term follow-up.