论文部分内容阅读
目的:观察用带蒂转移角膜缘干细胞瓣移植术中应用丝裂霉素治疗翼状胬肉的效果。方法:回顾性分析安康市中医院2016年1月至2018年1月原发性翼状胬肉切除联合带蒂角膜缘干细胞移植手术130例(130眼)的临床资料。收集同期翼状胬肉切除联合游离角膜缘干细胞移植124例(124眼)为对照组,术后随访6个月~1年。观察术后治疗效果、复发率及愈合时间。结果:研究组130例移植角膜缘干细胞全部成活。其中有6眼复发,复发率为4.6%,低于对照组的12.1%(n χ2=4.648,n P=0.039)。研究术后愈合时间7天者明显多于对照组(n χ2=5.048,n P=0.023)。n 结论:翼状胬肉带蒂角膜缘干细胞移植术中应用丝裂霉素复发率低,安全有效。“,”Objective:To observe the efficacy of pedunculated limbal stem cell transplantation with the application of mitomycin during surgery for the treatment of pterygium.Methods:The clinical data of 130 eyes of 130 cases with primary pterygium removal combined with pedunculated limbal stem cell transplantation from Jan. 2016 to Jan. 2018 in Ankang Tradational Chinese Medicine Hospital were analyzed retrospectively. The 124 eyes of 124 cases underwent pterygium excision combined with free limbal stem cell transplantation in the same period were collected as control group. All patients were followed up for 6 months to 1 year after operation. The efficacy, recurrence rate and the healing time were observed.Results:The limbal stem cells of 130 eyes for transplantation in the study group all succeed. Among 130 eyes, 6 eyes relapsed, with recurrence rate of 4.6%. The recurrence rate was lower than the 12.1% in the control group (n χ2=4.648, n P=0.039). The proportion of healing time of 7 days in study group was higher than that in control group (n χ2=5.048, n P=0.023).n Conclusion:The pedunculated limbal stem cell transplantation with application of mitomycin is safe and effective for pterygium.