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目的比较两种结膜瓣缝合位置对翼状胬肉疗效的影响。方法选取2014年1月-2016年4月在佛山市顺德区第二人民医院行翼状胬肉手术患者45例(45眼),随机分为观察组和对照组观察组23例(23眼)行翼状胬肉切除术角膜缘上皮侧缝于角膜缘处对照组22例(22眼)行翼状胬肉切除术角膜缘上皮侧缝于角膜缘外2 mm处。观察两组的结膜瓣成活率、术后复发率、角膜上皮修复时间。结果两组患者结膜植片均成活成活率为100.00%。角膜上皮愈合时间,观察组(3.22±0.85)d,对照组(4.36±1.05)d,两组差异有统计学意义(P<0.01)。观察组复发1例(1眼),复发率为4.34%,对照组复发1例(1眼),复发率为4.55%,两组差异无统计学意义(P>0.05)。结论翼状胬肉切除术联合带角膜缘上皮结膜瓣移植,将角膜缘上皮侧直接缝于角膜缘处能更快的修复角膜上皮,重建眼表组织。
Objective To compare the effects of two conjunctival flap sutures on the efficacy of pterygium. Methods Forty-five patients (45 eyes) with pterygium surgery from the Second People’s Hospital of Shunde District of Foshan City from January 2014 to April 2016 were randomly divided into observation group (23 eyes) and control group (23 eyes) Twenty-two eyes (22 eyes) in the limbal epithelium with corneal limbal seams were treated with pterygium excision. The survival rate of conjunctival flap, postoperative recurrence rate and corneal epithelial repair time were observed. Results Both groups of conjunctival graft survival rate was 100.00%. The healing time of corneal epithelium was (3.22 ± 0.85) d in the observation group and (4.36 ± 1.05) d in the control group, with significant difference between the two groups (P <0.01). The recurrence rate was 4.34% in the observation group (1 case) and in the control group (1 case), the recurrence rate was 4.55%. There was no significant difference between the two groups (P> 0.05). Conclusion Pterygium excision combined with limbal epithelial conjunctival flap transplantation, the limbal epithelial side of the limbus can be directly sewn to the corneal epithelium faster, reconstruction of ocular surface tissue.