两种翼状胬肉切除联合结膜移植术式的临床对照研究

Controlled study in pterygium surgery of anchored conjunctival rotation flap and conjunctival autograft

目的探讨翼状胬肉切除联合带蒂结膜瓣转位术与翼状胬肉切除联合游离结膜瓣移植术2种术式治疗原发性翼状胬肉的临床疗效。方法收集江苏省泰兴地区126例(198眼)连续原发性翼状胬肉病例,随机分为2组:A组65例(102眼)行翼状胬肉切除联合带蒂结膜瓣转位术;B组61例(96眼)行翼状胬肉切除联合游离结膜瓣移植术。术后随访12个月,统计比较术前2组基线情况及术后视力与复发率情况。结果术前2组患者性别、年龄、病程、视力间差异无统计学意义。术后2组视力差异无统计学意义;A组复发率为2.94%(3/102),B组复发率为3.1%(3/96)。结论 2种不同手术方式治疗原发性翼状胬肉术后复发率低、疗效好,均适合在基层医院开展。

Objective To investigate the efficiency of pterygium excision with anchored conjunctival rotation flap and with conjunctival free flap graft. Methods One hundred and twenty-six consecutive cases （ 198 eyes） in Taixing City with primary pterygium were randomly divided into two groups. Group A. 65 patients （102 eyes ） underwent pterygium excision with anchored conjunctival rotation flap. Group B： 61 patients （96 eyes） underwent pterygium excision with conjunetival free flap graft. Patients were followed up for 12 months. The statistical analysis was performed for the comparison of two groups at baseline and postoperation, especially in the visual acuity and recurrence rate. Results No significant difference of sex, age, duration, and visual acuity between two groups at baseline was identified. The postoperative visual acuity between two groups was not significantly different. The recurrence rate was 2.94% （3/102） in group A and 3.1% （3/96） in group B. Conclusions These two different surgical techniques for treating primary pterygium have low recurrence rates and good prognosis. （ Chin J Ophthalmol and Otorhinolaryngol,2017,17：40-42）