翼状胬肉转位术联合羊膜移植加绷带型角膜接触镜的疗效观察

发布时间：2019-07-20 07:56

【摘要】：目的观察翼状胬肉转位联合羊膜移植术加绷带型角膜接触镜与不加绷带型角膜接触镜的临床疗效差别。方法66例73眼原发性翼状胬肉患者,分为试验组(46例51眼)与对照组(20例22眼),试验组行翼状胬肉转位联合羊膜移植术加绷带型角膜接触镜处理,对照组行同样术式但不加绷带型角膜接触镜处理。统计分析两种处理方式的角膜上皮修复速度及术后复发率。结果角膜上皮修复速度,试验组平均3.53d,对照组平均5.77d,两组差异有统计学意义(P0.05)。术后随访1年,试验组复发率为3.92%,对照组复发率为4.55%,两组术后复发率差异无统计学意义(P0.9)。结论翼状胬肉转位联合羊膜移植术后使用绷带型角膜接触镜能明显加速角膜上皮的修复速度,绷带型角膜接触镜的使用对术后复发率无明显影响,简便易行,安全可靠。
[Abstract]:Objective to observe the clinical effect of pterygium transposition combined with amniotic membrane transplantation with bandaged corneal contact lens and unbandaged corneal contact lens. Methods 66 patients (73 eyes) with primary pterygium were divided into experimental group (46 cases, 51 eyes) and control group (20 cases, 22 eyes). The experimental group was treated with pterygium transposition combined with amniotic membrane transplantation plus bandage corneal contact lens, and the control group was treated with the same operation but no bandage corneal contact lens. The corneal epithelial repair speed and postoperative recurrence rate of the two treatments were statistically analyzed. Results the average repair speed of corneal epithelial cells was 3.53 days in the experimental group and 5.77 days in the control group. There was significant difference between the two groups (P 0.05). The recurrence rate was 3.92% in the experimental group and 4.55% in the control group. There was no significant difference in the recurrence rate between the two groups (P0.9). Conclusion the use of bandage contact lens can obviously accelerate the repair speed of corneal epithelial after pterygium transposition combined with amniotic membrane transplantation. The use of bandage contact lens has no significant effect on the recurrence rate, which is simple, safe and reliable.
【作者单位】：重庆市中山医院眼科;
【分类号】：R779.6

【参考文献】