翼状胬肉切除联合自体结膜移植术后应用软性角膜接触镜的临床效果

Clinical Effect of Soft Contact Lens after Pterygium Excision Combined with Autologous Conjunctival Transplantation

目的分析软性角膜接触镜应用于翼状胬肉切除联合自体结膜移植术后的效果。方法选取该院2011年3月-2019年3月收治的65例(65眼)单侧翼状胬肉患者为研究对象,按照随机数字表法分为两组,均采用翼状胬肉切除联合自体结膜移植术治疗,术后观察组患者佩戴软性角膜接触镜,对照组患者不佩戴,对比两组患者角膜上皮愈合时间、不同时间点的VAS(视觉模拟疼痛)评分,同时对比两组患者术后3个月的疾病复发情况。结果观察组角膜上皮愈合时间为(3.02±0.12)d,短于对照组的(5.46±0.88)d,差异有统计学意义(t=16.249,P<0.05);观察组患者术后第3天、术后第7天时的VAS评分分别为(4.12±0.12)分、(1.25±0.18)分,均低于对照组,差异有统计学意义(t=12.526、9.888,P<0.05)。结论软性角膜接触镜应用于翼状胬肉切除联合自体结膜移植术后的效果显著,利于减轻患者术后疼痛,降低疾病复发率。

Objective To analyze the effect of soft contact lens in the treatment of pterygium excision combined with autologous conjunctival transplantation. Methods 65 patients(65 eyes) with unilateral pterygium admitted to the hospital from March 2011 to March 2019 were enrolled in the study. They were divided into two groups according to the random number table. All patients were treated with pterygium excision combined with autologous conjunctiva transplantation. The patients in the observation group were wearing soft contact lenses. The patients in the control group were not worn. The corneal epithelial healing time and VAS(visual simulated pain)scores, 3 months of disease recurrence were compared between the two groups. Results The healing time of corneal epithelium in the observation group was(3.02±0.12)d, which was shorter than that in the control group(5.46±0.88)d. The difference was statistically significant(t=16.249, P<0.05). The third day after operation in the observation group of VAS scores at the 7 th day after surgery were(4.12±0.12)points and(1.25±0.18)points, respectively, which were lower than the control group, and the difference was statistically significant(t=12.526, 9.888, P<0.05). Conclusion The soft contact lens is effective in the treatment of pterygium excision combined with autologous conjunctival transplantation, which is beneficial to reduce postoperative pain and reduce the recurrence rate.