Pedicled greater omentum flap for preventing bile leak in liver transplantation patients with poor biliary tract conditions

BACKGROUND: Bile leak remains a main complication in liver transplantation patients with poor biliary tract conditions, mainly caused by an insufficient blood supply or dysplasia of the biliary tract. Although Roux-en-Y modus operandi can be adopted, the risk of other complications of the biliary tract such as infection increases. Using pedicled greater omentum flaps to wrap the anastomotic stoma, which increases the biliary tract blood supply, may reduce the incidence of bile leak. METHODS: Fourteen patients undergoing piggy-back liver transplantation and having poor biliary tract conditions were treated with pedicled greater omentum flaps to wrap the anastomotic stoma of the biliary tract. Their clinical data were analyzed retrospectively. RESULTS: Of the 14 patients, only one (7.1%) had a mild bile leak on the 8th day post-operation and fully recovered after symptomatic treatment. The other patients had no biliary complications. CONCLUSIONS: Using pedicled greater omentum flaps to wrap the anastomotic stoma of the biliary tract is an effective way to prevent bile leak in liver transplantation patients, especially those with poor biliary tract conditions. However, experience with this surgical technique still needs to be further explored.

Clinical outcomes with large macular holes using the tiled transplantation internal limiting membrane pedicle flap technique

AIM: To report the surgical technique and efficacy of the tiled transplantation internal limiting membrane(ILM) pedicle flap technique after vitrectomy for 33 patients with large macular hole(MH). METHODS: This study was a prospective noncontrolled interventional study. All patients were treated by vitrectomy, the tiled transplantation ILM pedicle flap and gas tamponade. All patients underwent visual acuity measurements and optical coherence tomography(OCT), during preoperative and the follow-up visits postoperative. RESULTS: Two high-myopic patient had flap dislocation during surgery. The thorough closure of MH following the tiled transplantation ILM pedicle flap technique was ultimately achieved in 31 patients observed by OCT imaging(93.94%) 1 wk after surgery. Visual acuity improved from 1.51±0.31(logMAR) preoperative to 0.92±0.30 6 mo after surgery(P=0.000). There were no significant changes in OCT finding during the follow-up period from 1 mo to 6 mo after surgery. CONCLUSION: The tiled transplantation ILM pedicle flap technique provides bridge for retinal gliosis to achieve successful closures of the large MHs, and the microenvironment of this technique is more similar to the normal physiological conditions.

Nursing care of vascular crisis in a child with neck skin contracture and skin flap transplantation after burn:A case report

In this report,we aimed to summarize the nursing points of fasciocutaneous flap transplantation due to scar contracture caused by a large area of head and face scald.A 4-year-old girl suffered from wound bleeding,respiratory tract edema,and vascular crisis and was transferred to the intensive care unit after flap transplantation.The child’s scar recovered well before she was discharged,and the follow-up results were satisfactory.After recovery,she had fewer complications under careful and scientific nursing care.The nursing points were to provide a stable treatment environment through regular wound observation and strict aseptic operation;ensure the nutrition of the child;give the child personalized sedative and analgesic care;and perform anticoagulation,antispasm,and dressing change and provide warmth for vascular crisis.Dressing changes by plastic surgery specialists combined with sedation and analgesia can alleviate children’s pain,enable them to better cooperate with surgical site observation and dressing care,increase the survival rate of the skin in the surgical area,and help improve the prognosis of the child.

Study on Different Types of Skin Flap Transplantation to Repair Forefoot Damaged Injury

Objective To investigate the clinical effect of different types of skin flap transplantation in repairing forefoot lesion.Methods From January 2016 to June 2019,62 patients with forefoot damage were selected and their clinical data were retrospectively analyzed.All the selected patients received skin flap transplantation and repair,of which 26 patients received free myocutaneous flap transplantation and repair,and were treated as group A.The other 36 patients underwent retrograde foot flap transplantation and repair.They were taken as group B,and the clinical treatment methods and curative effects were summarized.Results Among the 26 patients in group A,the skin flaps of 21 patients survived completely,while those of the other 5 patients showed partial necrosis at the edge of the skin flaps.They were treated with free skin grafting and healed after regular dressing change.All the skin flaps survived.Follow-up for at least 6 months showed that 11 patients had mild claudication and skin flap sensation was slightly poor.Among the 36 patients in group B,only 2 cases suffered from distal partial necrosis after the operation,which was caused by large tension after dorsum pedis flap transplantation.After systematic treatment and regular dressing change by doctors,the flaps of 2 patients healed.In addition,venous reflux disorder occurred in 3 patients with medial saphenous nerve nutrient vessel flap of the foot,which was related to swelling factors.The flaps of other patients survived,healed well and did not show infection symptoms.Conclusion According to the actual condition of patients with forefoot damage,the flap repair method is formulated,which has good short-term and long-term therapeutic effects and plays an important role in repairing forefoot damage.

EXPERIMENTAL TREATMENT FOR OBSTRUCTIVE LYMPHEDEMA BY TRANSPLANTATION OF FASCIAL FLAP RICHED IN LYMPH VESSELS

Objective To provide a more effective microsurgical treatment for obstructive lymphedema.Methods Sixty models of rabbits with lymphedema in right hindlimb were devided into three groups: 20 for fascial flap transplantation (group A), 20 for no treatment (group B) and 20 for anastomosis of lymph vessels and vein (group C) as control. For group A, the posterior branch of medial vein in the normal hindlimb was cut down together with the fascial strip (about 3 cm wide) around it and concomitant lymph vessels, then transferred through the block region of the affected limb. The two broken tips of the vein were anastomosed respectively to normal veins beside the block region. Subcutaneous tissue and skin were sutured at last. For group B, no treatment was carried out. But traditional anastomosis of lymph vessels and vein was used for group C. Postoperative variation of volume was observed and lymphoscintigraphy was made. Results The volume curve of the affected limb in group A kept declining after 2 weeks and nearing to that of the normal hindlimb in group B but away from that of the affected limb in group B. The curve of donor limb in group A was similar to that of the normal limb of group B, which meant no secondary lymphedema occurred in donor limb. The volume of the affected limb of group A had significant difference to that of group C at postoperative 24 weeks, which meant the effect of group A was better than C. The lymphatic drainage of the affected limb of group A was obviously better than B and C in lymphoscintigraphic image. Deposit of nuclein was lessened. Conclusion It was verified that the transplantation of vein-lymph vessels-fatty fascial flap had following advantages: decreased technical difficulty, better long-term effect, almost no chronic lymphedema occurred in donor site, extensive adaptation.

Flap transplantation for treatment of pelvic fracture and defective hip

A case of flap transplantation for treatment of pelvic fracture and defective hip in the Third Affiliated Hospital of Inner Mongolia Medical University was collected and analyzed on the basis of diagnosis,physical examination and treatment.The patient was in serious condition with large necrotic area and prone to lead to various complications.The paper aims to share experience and provide references for similar cases amongst surgeons.

To investigate the clinical effect of modified closed negative pressure suction technique combined with flap transplantation on the treatment of deep chronic refractory wounds

Objective:To investigate the clinical effect of modified closed negative pressure suction technique combined with flap transplantation on the treatment of deep chronic refractory wounds.Methods:During March of 2015 to April of 2018,52 cases of patients with deep chronic refractory wounds were selected as research objects.They were divided into the control group and the treatment group by use of the random number table method,with 26 cases in each group.Among them,the control group was given conventional debridement combined with flap reconstruction,and the treatment group was treated with modified closed negative pressure suction technique combined with flap transplantation to observe the clinical effect.Results:(1)According to the analysis on the effect of flap transplantation,the excellent and good rate of the treatment group was 92.3%,and in the control group,it was 76.9%(p<0.05).(2)According to the statistics,the incidence of complications in the treatment group was lower than that in the control group(p<0.05).Conclusions:Modified closed negative pressure suction technique combined with flap transplantation has a good effect on the treatment of deep chronic refractory wounds with fewer complications.

How and when of eyelid reconstruction using autologous transplantation

Reconstructive surgery of the eyelid after tumor excision,trauma or other causes can be challenging,especially due to the complexities of the anatomic structures and to the necessity of both functional and aesthetic successful outcomes.The aim of this minireview was to investigate the use of tissue transplantation in eyelid reconstruction.Surgical procedures are various,based on the use of both flaps,pedicled or free,and grafts,in order to guarantee adequate tissue reconstruction and blood supply,which are necessary for correct healing.Common techniques normally include the use of local tissues,combining non-vascularized grafts with a vascularized flap for the two lamellae repair,to attempt a reconstruction similar to the original anatomy.When defects are too wide,vast,deep,and complex or when no adjacent healthy tissues are available,distant area tissues need to be recruited as free flaps or grafts and paired with mucosal layer reconstruction.With regards to the anterior lamella,full thickness skin grafts are commonly preferred.With regards to the reconstruction of posterior lamella,there are different graft options,which include conjunctival or tarsoconjunctival,mucosal or palatal or cartilaginous grafts usually combined with local flaps.Free flap transplantation,normally reserved for rare select cases,include the use of the radial forearm and anterolateral flaps combined with mucosal grafts,which are surgical options currently reported in the literature.

旋髂浅动脉浅支穿支皮瓣移植术中不同吻合法的临床分析

目的分析旋髂浅动脉(SCIA)浅支穿支皮瓣移植术中不同吻合法对皮瓣成活率、创面愈合因子的影响。方法选取我院于2019年1月至2022年8月收治的100例四肢皮肤缺损患者,根据不同吻合法分为端端吻合组(56例)和端侧吻合组(44例)。端端吻合组患者进行皮瓣动脉与患区主动脉分支末端对齐吻合;端侧吻合组患者进行受区皮瓣动脉与主动脉端侧吻合。术后2组患者均随访6~12个月,比较2组患者动脉口径、侧口径和吻合时间;观察皮瓣成活情况、静脉危象发生情况、皮瓣以及供区的外形和功能。结果2组患者的动脉口径、侧口径比较,差异均无统计学意义(P>0.05);端端吻合组患者的吻合时间明显较端侧吻合组缩短(P<0.05)。端端吻合组56例皮瓣全部成活;端侧吻合组中出现4例静脉危象,探查发现静脉血栓形成,2例重新进行吻合静脉后成活,2例再次形成静脉危象时改为腹部带蒂皮瓣,术后6~12个月,皮瓣和供区的外形和功能均满意(P<0.05)。2组患者供区在色泽、厚度、血管分布、柔韧度方面无明显差异(P>0.05)。术后2组患者受区皮瓣在疼痛、外貌、活力、娱乐方面比较无明显差异(P>0.05)。结论不同动脉吻合方式应用于SCIA浅支穿支皮瓣移植术治疗四肢皮肤软组织缺损均安全可靠,术后皮瓣成活良好,愈合不受吻合方式影响,受区外观效果满意,值得临床推广。

基于“络以辛为泄”理论探讨消肿止痛合剂治疗皮瓣术后微循环障碍的机制

从皮瓣坏死与缺血再灌注微循环障碍“,络以辛为泄”与皮瓣微循环障碍、消肿止痛合剂对与皮瓣微循环障碍类的靶向治疗3方面入手探讨基于“络以辛为泄”理论的消肿止痛合剂治疗皮瓣术后微循环障碍的机制,提出消肿止痛合剂能够促进皮瓣血管再生,改善皮瓣微循环障碍,提高皮瓣成活率,方中药物以活血药为主,大多以“辛”味药为主,并从“络以辛为泄”理论出发揭示了消肿止痛合剂在改善皮瓣移植术后微循环障碍的中医药机制,运用络病理论研究皮瓣微循环障碍是一个新的切入点,是皮瓣微循环障碍未来研究的重要方向。

四肢创伤性软组织缺损患者游离皮瓣移植失败的危险因素及预测模型构建

目的探讨四肢创伤性软组织缺损(STI)患者游离皮瓣移植(FFT)修复失败的危险因素,并构建预测模型。方法选取2017年1月至2023年6月期间行FFT的575例四肢创伤性STI患者为研究对象,7︰3随机分为建模组(n=403)和验证组(n=172)。多因素Logistic回归分析确定四肢创伤性STI患者FFT修复失败的危险因素。利用R3.6.3软件中rms程序包构建预测四肢创伤性STI患者FFT修复失败的列线图模型,并采用受试者工作特征(ROC)曲线和霍斯默-莱梅肖(H-L)拟合度曲线,对列线图模型预测区分度和一致性进行评估。结果多因素Logistic回归分析显示,受伤至手术时间≥6 h(OR=2.179)、吻合血管选择不合理(OR=6.770)、并发感染(OR=4.980)、术中止血不彻底(OR=3.054)、术后固定不牢固(OR=2.132)等,均为四肢创伤性STI患者FFT修复失败的独立危险因素(P<0.05);建模组H-L检验χ^(2)=11.889、P=0.546,ROC曲线下面积为0.809(95%CI:0.748~0.869);验证组H-L检验χ^(2)=6.990、P=0.322,ROC曲线下面积为0.827(95%CI:0.722~0.932)。结论基于受伤至手术时间、吻合血管选择、并发感染、术中止血不彻底、术后固定不牢固等5个危险因素构建的预测四肢创伤性STI患者FFT修复失败的列线图模型具有较好的区分度和一致性。

家庭功能与心理弹性在口腔癌皮瓣移植患者病耻感和社会疏离间的中介作用

目的探讨家庭功能与心理弹性在口腔癌皮瓣移植患者病耻感与社会疏离间的链式中介效应,为患者早日回归社会提供依据。方法2022年1月至2023年9月,采用便利抽样法选取长沙市某三级甲等医院行口腔癌皮瓣移植修复术后的患者147例为研究对象,采用一般疏离感量表、社会影响量表、家庭关怀度指数问卷、心理弹性量表对其进行调查。结果口腔癌皮瓣移植患者的社会疏离、病耻感、心理弹性和家庭功能总分分别为(39.40±7.15)分、(57.00±12.03)分、(25.77±6.61)分、(6.96±1.66)分;社会疏离得分与病耻感总分呈正相关(r=0.650)、与家庭功能(r=-0.594)、心理弹性总分(r=-0.624)呈负相关(P<0.001)。口腔癌皮瓣移植患者病耻感对社会疏离的直接效应为0.22,家庭功能与心理弹性均在口腔癌皮瓣移植患者病耻感与社会疏离感间起部分中介效应,中介效应值为0.05和0.03。二者连续路径起链式中介效应,中介效应值为0.02。结论口腔癌皮瓣移植患者病耻感和社会疏离均为中等水平,病耻感可直接或通过家庭功能和心理弹性间接作用于社会疏离感,医护人员应采取干预措施提高患者家庭功能和心理弹性水平,减少其社会疏离。

摄食细节管理结合舒适护理模式在口腔癌游离皮瓣移植术后患者康复中的应用

目的:探讨摄食细节管理结合舒适护理模式在口腔癌游离皮瓣移植术后患者康复中的应用效果.方法:选取2020年3月至2023年3月本院收治的122例口腔癌游离皮瓣移植术后患者为研究对象.采取随机数字表法将其分为观察组(n=62,采用摄食细节管理和舒适护理模式)和对照组(n=60,采用常规饮食干预模式).对两组患者吞咽功能、舒适度及并发症发生率进行统计学分析.结果:干预后,观察组患者洼田饮水试验(WST)评分低于对照组,改良曼恩吞咽能力评估量表(MMASA)、Kolcaba的舒适状况量表(CGQ)评分均高于对照组,差异均有统计学意义(P<0.05).观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:摄食细节管理结合舒适护理模式在口腔癌游离皮瓣移植术后患者康复中效果理想,可有效调整患者的吞咽功能障碍,改善舒适度,降低并发症发生率.

游离腓骨瓣修复下颌骨缺损术后义齿修复的临床分析

目的:分析游离腓骨瓣重建下颌骨缺损患者术后义齿修复情况,并对义齿功能进行评价。方法:收集2015年1月至2020年12月期间154例因炎症、外伤、肿瘤等原因实施下颌骨节段切除,并采用血管化游离腓骨瓣修复下颌骨缺损的患者,回顾相关资料并随访调查患者义齿修复的相关情况,同时对义齿修复功能评价的各指标进行专家权威赋值,获得义齿功能评分。采用SPSS 18.0软件对纳入研究患者的基本信息和患者义齿修复情况进行统计分析。结果:游离腓骨瓣修复下颌骨缺损患者术后义齿修复率为17.5%,其中,下颌骨良性肿瘤患者采用腓骨瓣修复的术后义齿修复率为25.0%(18/72例),明显高于恶性肿瘤患者的术后义齿修复率11.0%(9/82例,P<0.05)。缺损累及髁突和不累及髁突的患者在义齿修复率和义齿功能评分上差异均无统计学意义(P>0.05)。种植义齿修复患者的义齿功能评分显著高于活动义齿修复的患者(P<0.05)。根据Brown分类,缺损累及下颌骨前牙区患者的义齿功能评分显著高于未累及下颌骨前牙区的患者(P<0.05)。因口内条件差而未行义齿修复的患者约占未行义齿修复患者总数的37.9%,是未行义齿修复的最主要原因。结论:游离腓骨瓣重建下颌骨缺损的义齿修复情况与肿瘤性质、口内条件等关系密切,种植义齿的临床修复效果更佳,是未来颌骨重建后义齿修复的更优选择。

Fournier坏疽临床诊断和综合治疗1例报告及文献复习

目的:探讨Fournier坏疽患者临床表现、诊断和治疗方法,以提高临床医生对该病的认识。方法:收集1例Fournier坏疽患者的临床症状、体征、影像学表现和手术结果等临床资料,并复习相关文献,总结Fournier坏疽患者的临床特点、诊断和治疗方法。结果:患者,男,42岁,因会阴、阴囊和肛周感染13 d入院。既往史,急性髓系白血病10个月,于当地医院行化疗8个疗程。腹部CT提示,左侧腹股沟区软组织增厚,密度增高浑浊。血常规,白细胞23.99×10^(9)L^(-1)。创面分泌物培养为大肠埃希菌和阴沟肠杆菌。专科检查,患者阴囊和左臀部近肛门处皮肤坏死,色黑,质硬,坏死皮肤周围溶解,与基底及周围正常皮肤分离,可见少量脓性渗出,无明显异味,创面周围皮肤红肿明显;肛门指诊无出血,未探及窦道。患者入院后当天行急诊清创手术,术后予以换药和多次留置简易负压后行会阴部皮瓣修复及皮肤移植手术,术后患者恢复良好,功能正常,无并发症。结论:Fournier坏疽起病急且进展快,患者临床表现无特异性,感染范围与疾病进展不一致。确诊主要依靠术中探查。反复多次的根治性手术是其主要治疗手段。该病预后较好,复发率低,术后仍需长期随访。

带血管蒂髂骨瓣移植在早期股骨头坏死患者临床治疗中的应用价值

目的探讨带血管蒂髂骨瓣移植在早期股骨头坏死患者临床治疗中的应用价值。方法将2019年8月~2022年8月南阳市中心医院收治的98例早期股骨头坏死患者,随机分为髂骨瓣组与髂骨块组各49例。髂骨块组患者采用髂骨块移植,髂骨瓣组患者采用带血管蒂髂骨瓣移植。手术前后,采用视觉模拟评分法(VAS)、Harris髋关节功能评价量表(HHS)、X线检查评估两组患者疼痛程度、髋关节功能和髋关节功能优良率、影像学指标评分。手术后,采用自制调查问卷评估两组患者治疗满意度。结果手术后,髂骨瓣组患者VAS评分、影像学指标评分均低于髂骨块组,HHS评分、髋关节功能优良率、治疗总满意度均高于髂骨块组(P<0.05或0.01)。结论带血管蒂髂骨瓣移植应用于早期股骨头坏死患者效果较好,可临床推广。

显微外科护士对皮瓣移植手术患者血管危象识别与护理体验的质性研究

目的 深入了解显微外科护士在识别皮瓣移植手术患者血管危象与对已发生血管危象患者护理过程中的真实体验以提高护士对皮瓣移植手术患者的专科护理能力。方法 采用现象学研究方法,于2022年1-5月运用目的抽样法,选取湖南省某三甲医院15名显微外科护士进行半结构式深入访谈,并采用Colaizzi 7步分析法分析访谈资料,提炼主题。结果 显微外科护士对皮瓣移植手术患者血管危象识别与护理体验可归纳为4个主题及15个亚主题:多重情感体验(紧张感、无助感、自责感、职业认同感和成就感)、核心能力特征要素(责任心与观察能力、理论知识与实践操作能力、工具运用与创新思考能力、亲和力与沟通能力)、血管危象识别与护理阻力因素(工作难度增大、内在支持系统不足、缺乏理解)、寻求组织支持(接受相关教育和培训、改善现有皮瓣血管危象处理流程及记录工具、制定皮瓣情况交接规范、增强皮瓣血管危象早期识别技术支持)。结论 在识别与护理皮瓣血管危象患者过程中,需要重视显微外科护士心理健康,强化护士针对皮瓣血管危象的相关专科护理能力,加强医护协作及患者参与,发展皮瓣血循环监测技术并进行持续质量改进,优化皮瓣移植手术围术期管理。

中晚期口腔癌组织瓣移植术区感染发生的危险因素及Nomogram预测模型构建

目的分析中晚期口腔癌患者手术同期组织瓣移植术区感染危险因素,并构建列线图Nomogram预测模型。方法收集2015年3月至2020年3月,首都医科大学附属北京口腔医院住院接受游离组织瓣移植手术的中晚期口腔癌患者,建立研究队列,收集患者基线和临床资料。观察术区感染发生率,以多因素Logistic回归分析术区感染的主要危险因素,并基于回归分析结果,建立Nomogram预测模型,以模型一致性指数和ROC曲线的曲线下面积(area under curve,AUC)验证模型的预测区分度;绘制校准曲线并进行Hosmer-Lemeshow验证模型的概率一致性;通过决策曲线分析(decision curve analysis,DCA)验证预测模型的临床效益。结果所有纳入研究患者中83例(23.1%)发生术区感染。Logistic回归分析证实,糖尿病、肿瘤部位(非上颌区域)、T4b分期、手术时间≥8 h及气管切开术是术区感染发生的独立危险因素。构建的Nomogram预测模型,经内部验证,C指数为0.682,Hosmer-Lemeshow拟合优度检验P=0.974,证实模型具有较好的区分度和模型概率一致性。临床决策曲线显示,在0.1-0.55阈值范围内,模型能够提供临床净收益。结论本研究通过临床分析,获得中晚期口腔癌患者接受同期游离组织瓣移植术后术区感染的主要危险因素,并构建了Nomogram预测模型,模型具有较好的临床效能。

应激系统理论下的系统化护理在手部软组织缺损行带蒂皮瓣移植修复患者中的应用

目的探讨应激系统理论下的系统化护理在手部软组织缺损行带蒂皮瓣移植修复患者中的应用。方法选择江苏省宜兴市人民医院2019年7月至2022年12月收治的110例拟行带蒂皮瓣移植修复术治疗的手部软组织缺损患者为研究对象,以随机数字表法将其分为观察组和对照组,各55例。对照组采用系统化护理,观察组在对照组基础上采用基于应激系统理论下的系统化护理,均持续干预至患者出院。比较两组术后恢复情况(皮瓣成活情况、血管危象发生情况、住院时间);比较两组护理前后应激反应[应激反应问卷(SRQ)评分]及创伤后成长水平[创伤后成长量表(PTGI)评分]。结果两组皮瓣成活率、血管危象发生率比较,差异无统计学意义(P>0.05);观察组住院时间短于对照组(P<0.05)。护理后,两组SRQ评分较护理前降低,且观察组低于对照组(P<0.05)。护理后,两组PTGI评分较护理前升高,且观察组高于对照组(P<0.05)。结论手部软组织缺损行带蒂皮瓣移植修复患者采用应激系统理论下的系统化护理可缩短患者住院时间,减轻患者应激反应,改善患者创伤后成长水平。

不同方法及术后干预对翼状胬肉患者舒适度及疗效的影响

目的:探讨不同球结膜移植术及术后干预对翼状胬肉患者舒适度及疗效的影响。方法:选取2017年1月—2019年12月样本医院收治的200例(200眼)翼状胬肉患者作为研究对象,按随机数表法分为A、B、C、D 4组,每组50例(50眼)。A、B组采用切除术联合自体游离结膜瓣移植术,C、D组采用切除术联合角膜缘干细胞移植,B、D组术后佩戴角膜绷带镜。观察对比4组患者术后眼部不适、视力、角膜上皮愈合时间、治愈率及复发率情况。结果:4组患者术后均出现不同程度的眼部不适,3 d后缓解,2周后基本消失。术后1 d、3 d、7 d B组患者眼部不适较A组轻,D组患者眼部不适较C组轻,而A组与C组、B组与D组之间比较,差异无统计学意义(F=0.083,P>0.05);术后1 d、3 d 4组患者的裸眼视力均有不同程度的下降。术后1 d、3 d B组患者视力较A组高,D组患者视力较C组高,差异有统计学意义(F=3.026、3.088,P<0.05);4组患者术后角膜上皮愈合约需4~6 d,B组角膜上皮愈合时间较A组短,D组较C组短,差异有统计学意义(F=35.800,P<0.05);4组患者术后治愈率和术后翼状胬肉复发情况比较,差异无统计学意义(χ^(2)=0.632、1.031,P>0.05)。结论:切除术联合角膜缘干细胞移植对翼状胬肉患者治疗效果显著,复发率较低。佩戴角膜绷带镜可减轻术后眼部不适,有利于角膜上皮愈合和早期视力的稳定,对翼状胬肉的治疗具有积极意义。