改良酒精浸泡剥离法行翼状胬肉切除术的临床疗效评价

发布时间：2018-03-03 15:32

本文选题：翼状胬肉　切入点：酒精浸泡　出处：《眼科新进展》2015年05期 　论文类型：期刊论文

【摘要】：目的评价应用改良酒精浸泡剥离法行翼状胬肉切除术的临床疗效。方法选择103例(103眼)翼状胬肉患者为研究对象,分为对照组41例(41眼)和改良组62例(62眼)。对照组患者行常规翼状胬肉切除加羊膜移植术;改良组患者先用体积分数20%酒精浸泡翼状胬肉头部,再行常规翼状胬肉切除加羊膜移植术。比较两组术后症状消失时间、上皮愈合时间、并发症和复发情况及其术前、术后泪膜破裂时间、角膜散光度数和总高阶像差。结果改良组的症状消失时间、上皮愈合时间分别为(1.14±0.67)d、(4.12±1.31)d;对照组分别为(1.82±0.91)d、(5.54±1.82)d。改良组症状消失时间、上皮愈合时间明显短于对照组,差异均有统计学意义(t=4.428、4.582,均为P0.05)。改良组术后泪膜破裂时间为(9.82±0.41)s,对照组为(8.86±0.28)s,差异有统计学意义(t=10.074,P=0.000)。改良组术后角膜散光度数(-0.409±0.208)D明显低于对照组(-0.571±0.392)D,差异有统计学意义(t=2.728,P=0.008)。总高阶像差明显低于对照组,差异有统计学意义(P=0.029)。改良组复发率明显低于对照组(分别为4.84%、9.76%),差异有统计学意义(P0.05)。两组术后并发症发生率比较差异无统计学意义(P0.05)。结论改良酒精浸泡剥离法行翼状胬肉切除术可有效改善眼部症状,提高临床疗效,安全性高,复发率低。
[Abstract]:Objective to evaluate the clinical effect of pterygium excision with modified alcohol immersion and stripping. Methods 103 patients with pterygium were selected as subjects. The patients in the control group were treated with routine pterygium resection and amniotic membrane transplantation, and the patients in the modified group were immersed in the head of pterygium with volume fraction of 20% alcohol. Routine pterygium resection and amniotic membrane transplantation were performed again. The time of disappearance of symptoms, time of epithelial healing, complications and recurrence, time of lacrimal film rupture before and after operation were compared between the two groups. Results the symptom disappearance time and epithelial healing time in the modified group were 1.14 卤0.67 d and 4.12 卤1.31 days, respectively, while in the control group they were 1.82 卤0.91g / d and 5.54 卤1.82 卤1.82 卤1.82 卤1.82 卤1.82 days, respectively. The time of epithelial healing in the modified group was significantly shorter than that in the control group. The time of lacrimal film rupture was 9.82 卤0.41 s in the modified group and 8.86 卤0.28 s in the control group. The corneal astigmatism in the modified group was significantly lower than that in the control group (-0.409 卤0.208), and the difference was statistically significant. Higher order aberrations were significantly lower than those in the control group. The recurrence rate in the modified group was significantly lower than that in the control group (4.84), the difference was statistically significant (P 0.05). There was no significant difference in the incidence of postoperative complications between the two groups. Conclusion there is no significant difference in the incidence of postoperative complications between the two groups. Excision of pterygium can effectively improve ocular symptoms. Improve clinical efficacy, high safety, low recurrence rate.
【作者单位】：顺德区桂洲医院;
【基金】：佛山市科技局基金项目(编号:2014AB001673)~~
【分类号】：R779.6

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