改良翼状胬肉切除方法的疗效分析

发布时间：2018-03-25 09:55

本文选题：翼状胬肉　切入点：手术改良　出处：《吉林大学》2010年硕士论文

【摘要】： 目的:通过改良翼状胬肉切除术中的手术操作方法,比较分析不同方法手术的治疗效果。本研究用清除异常增生的筋膜、纤维增生组织及带巩膜密集缝合的改良方法代替传统的简单方法。比较在翼状胬肉切除联合自体结膜移植术中使用这2种技术的临床结果,探求如何改良手术方式以提高胬肉的治疗效果,降低胬肉术后的复发率。方法:用回顾性分析方法研究我院自2005年1月至2009年12月因翼状胬肉住院手术的患者148例,156只眼(女68例,72眼;男80例,84眼)。全部病例排除其他眼病及相关性全身系统性疾病。依照采取不同手术方式分为二组:A组传统翼状胬肉切除联合自体结膜移植术83眼(73眼原发,10眼复发);B组改良翼状胬肉切除联合自体结膜移植术73眼(65眼原发,8眼复发)。所有患者术后随访为6个月至2年。术后观察结膜角膜修复情况、手术后并发症及胬肉复发情况,评价其疗效。统计学分析两组手术方法的效果差异。结果:两组手术方法的术后复发率比较:传统翼状胬肉切除联合自体结膜移植术组13眼复发,复发率为15.66%;改良翼状胬肉切除联合自体结膜移植术组4眼复发,复发率为5.48%。改良组比传统组并发症少,两组均没有严重威胁到手术患者的视功能的主要并发症。结论:两组手术方法的结果比较表明,改良组较常规组复发率低,愈合效果佳而且并发症少。虽然清除异常增生的筋膜、纤维增生组织及带巩膜密集缝合的技术相对难度大和耗费时间,但从美容角度及手术结果发现其更优越。我们建议采用清除异常增生的筋膜、纤维增生组织及带巩膜密集缝合的技术治疗翼状胬肉。
[Abstract]:Objective: to compare and analyze the therapeutic effect of different methods in pterygium excision. The modified method of dense suture of fibrous hyperplasia tissue and sclera instead of the traditional simple method was used to compare the clinical results of these two techniques in pterygium excision and autoconjunctival transplantation. To explore how to improve the operation to improve the treatment of pterygium and reduce the recurrence rate of pterygium. Methods: a retrospective study of 156 eyes (68 female, 72 eyes) with pterygium in our hospital from January 2005 to December 2009 was carried out. Other ophthalmopathy and associated systemic diseases were excluded in 80 male patients. According to different surgical methods, they were divided into two groups: group A, traditional pterygium excision and autoconjunctival transplantation in 83 eyes (73 eyes). In group B, modified pterygium excision combined with autologous conjunctival transplantation was performed in 73 eyes and 65 eyes with primary recurrence. All the patients were followed up for 6 months to 2 years. The conjunctival corneal repair was observed after operation. Postoperative complications and recurrence of pterygium were evaluated. Results: the recurrence rate was 15.66 in 13 eyes of traditional pterygium resection combined with autologous conjunctival transplantation group, 4 eyes in modified pterygium resection combined with autologous conjunctival transplantation group. The recurrence rate was 5.48%. There were fewer complications in the modified group than in the traditional group, and there were no major complications that seriously threatened the visual function of the patients in both groups. Conclusion: the results of operation in the two groups showed that the recurrence rate of the modified group was lower than that of the conventional group, the healing effect was better and the complications were less. The technique of dense suture of fibrous hyperplasia tissue and sclera is relatively difficult and time-consuming, but it is more superior from the point of view of beauty and surgical results. Treatment of pterygium with fibrous hyperplasia and scleral dense suture.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R779.6

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