原发性翼状胬肉手术时机临床观察

Clinical observation of surgery time for primary pterygium

目的探讨原发性翼状胬肉临床手术治疗的时机对术后胬肉复发及眼表重建的影响。方法原发性翼状胬肉203例（256眼），采用胬肉逆行镊撕法切除联合带蒂球结膜瓣移植法手术。术后随访3个月～2a。结果静止期翼状胬肉98例（117眼），术后胬肉复发2例（2眼），2l例（24眼）伴眼十症状，均未遗留角膜斑翳。进行期翼状胬肉105例（139眼）术后胬肉复发9例（9眼），62例（86眼）伴眼干症状，89例（94眼）角膜留有不同程度瘢痕性浑浊。结论翼状胬肉静止期与进行期手术治疗相比较，前者术后复发率少、眼表重建快及眼表症状轻，翼状胬肉静止期可行手术切除治疗。

Objective To investigate the influence of surgical time of primary pterygium on postoperative recurrence of pterygium and ocular surface reconstruction. Methods Totally 203 patients （256 eyes） of primary pteryginm had been performed pterygium excision by ripping retrogradly by forceps combined with pedicle conjunetival flap transplantation. Patients were followed up for 3 months to 2 years. Results There were 98 patients with quiescent pterygium （ 117 eyes）, 2 cases of them had postoperative recurrence of pterygium,21 patients （24 eyes） of them with dry eye symptoms and no residual corneal scar nebula. There were 105 cases （139 eyes） of invasive pterygium,postoperative recurrence occurred in 9 cases （9 eyes）, 62 patients （86 eyes） with dry eye symptoms, 89 patients （94 eyes） with different degree of corneal opacity. Conclusions Compare with the treatment of invasive pterygium, the treatment of quiescent pterygium could result in low recurrence rate, faster ocular surface reconstruction and mild symptoms. Quiescent pteryqium can accept sugery treatment.