撕除法翼状胬肉切除联合自体角膜缘上皮移植对原发性翼状胬肉的疗效

Effect of pterygium excision combined with corneal limbal epithelial autograft transplantation on primary pterygium

目的探讨撕除法翼状胬肉切除联合自体角膜缘上皮移植术治疗原发性翼状胬肉的效果。方法按入院先后次序将2013-06—2015-12间收治的133例原发性翼状胬肉患者分为剖切组66例和撕除组67例。比较术后24 h、48 h患者的症状、角膜创伤修复时间及BUT评分。结果术后2组症状均有明显好转,撕除组患者术后24 h、48 h疼痛症状、角膜创伤修复时间均优于剖切组,差异具有统计学意义(P<0.05);术后7 d、1个月剖切组的BUT评分较撕裂组明显降低。差异具有统计学意义(P<0.05);2组术前及术后3个月比较差异无统计学意义(P>0.05)。结论与传统切除法比较,撕除法翼状胬肉切除联合自体角膜缘上皮移植术治疗原发性翼状胬肉,患者疼痛轻,角膜创面恢复更快。

Objective To study the curative effect of recurrent pterygium excision associated with epithelial autograft of corneal limbus.Methods Selected 133 cases from June 2013 to December 2015 who have got primary ptergium,devided them into 2 goups. By curing in different ways compared their 24 h,48h symptoms,corneal wound time and BUT scores. Results After the operation,the symptoms of the two groups were significantly improved,and the recovery of the symptoms was more obvious,comparison of the two groups has statistical significance（ P 〈0. 05）.Corneal wound repair time is superior to the cut group; BUT scores of two groups were compared,the cut group was significantly lower than that of the tear group. There was no significant difference between the two groups before and 3 months after operation. Conclusion Pterygium excision associated with epithelial transplantation of self corneal limbus is an effective method to cure recurrent pterygium.