Clinical efficacy of anterograde and retrograde resection combined with autogenous conjunctival transplantation for pterygium

中国实用眼科杂志 Pub Date : 2017-10-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.10.016

Yizhou Sun, lei chen, C. Cao, Guiming Li

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Abstract

Objective To investigate the efficiency of the anterograde and retrograde resection combined with antogenous conjunctival transplantation for pterygium. Methods One hundred eighty cases (120 eyes) with primary pterygium were divided into two groups. Group A: 56 patients(57 eyes) were treated with anterograde resection combined with conjunctival transplantation. Group B: 62 patients(63 eyes)were treated with retrograde resection combined with conjunctival transplantation. The irritation symptoms, operation time, corneal epithelium to heal and recurrence rate were compared. Results Subjective symptoms were significantly different between the two groups after surgery 48h and 1 week(P <0.05,P <0.001).The difference of operation time and corneal wound healing time had statistical significance between the groupA and B (P <0.001). There was no statistically significant difference of pterygium recurrence. Conclusion The anterograde and retrograde resection combined with antogenous conjunctival transplantation has low recurrence rate, but retrograde resection is a better approach for the operation time and corneal epithelium to heal.The easily operational operation way can be widely uses in clinic. Key words: Pterygium; Conjunctival; Anterograde; Retrograde

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顺、逆行切除联合自体结膜移植治疗翼状胬肉的临床疗效

目的探讨顺、逆行切除联合自体结膜移植治疗翼状胬肉的疗效。方法原发性翼状胬肉180例(120眼)分为两组。A组56例(57眼)行顺行切除联合结膜移植。B组:行逆行结膜切除联合结膜移植62例(63只眼)。比较两组患者的刺激症状、手术时间、角膜上皮愈合情况及复发率。结果两组患者术后48h、1周主观症状差异有统计学意义(P <0.05,P <0.001)。a组与B组手术时间、角膜创面愈合时间比较，差异均有统计学意义(P <0.001)。两组间翼状胬肉复发率差异无统计学意义。结论顺行、逆行切除联合自体结膜移植复发率低，但从手术时间和角膜上皮愈合情况来看，逆行切除是较好的方法。该手术方式操作简便，可广泛应用于临床。关键词:翼状胬肉;结膜;顺行;逆行

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中国实用眼科杂志

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期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.