翼状胬肉手术中纤维蛋白胶与自体缝合移植的患者满意度比较

Q4 Medicine

Asian Journal of Ophthalmology Pub Date : 2019-01-17 DOI:10.35119/asjoo.v16i3.511

Nur Reza Mohamad Noh, Geng-Yi Yong, Siew-Ting Lee, Kui-Feng Low, S. Pan

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引用次数: 0

摘要

目的：比较翼状胬肉手术与纤维蛋白胶自体移植物和缝合自体移植物的手术时间和患者满意度。方法：纳入2012年10月1日至2013年9月30日在马来西亚砂拉越锡布医院进行的所有翼状胬肉手术。结果：本研究共纳入81例病例。纤维蛋白胶组33例，缝合组48例。患者的平均年龄为50.56岁（SD:7.61）。与缝线组（22.60分钟，SD:12.88）相比，纤维蛋白胶组的平均手术持续时间更短（17.18分钟，SD:10.66）（P=0.05）。纤维蛋白胶和缝线组在第一周复查时的患者满意度分别为93.9%和75.0%（P=0.027，OR 5.2[95%CI:1.1，24.9]）。第六周复查时患者满意度纤维蛋白胶组为97.0%，缝线组为77.1%（P=0.023，OR 9.5[95%CI:1.2，77.8]）。本研究人群中未发生严重不良事件。结论：与缝合技术相比，纤维蛋白胶在翼状胬肉术后第一周和第六周的平均手术时间更短，患者满意度显著提高。

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Patient satisfaction of pterygium surgery using fibrin glue versus suture autograft

Purpose: To compare pterygium surgery with fibrin glue autografts and sutured autografts in terms of length of surgery time and postoperative patient satisfaction. Methods: All pterygium operations performed at Sibu Hospital (Sarawak, Malaysia) between October 1, 2012 and September 30, 2013 were included. Results: Eighty-one cases were included in the study. The fibrin glue group and suture group had 33 and 48 cases, respectively. The mean age of the patients was 50.56 (SD: 7.61). The fibrin glue group had a shorter mean duration of surgery (17.18 minutes, SD: 10.66) compared to the suture group (22.60 minutes, SD: 12.88) (P = 0.05). Patient satisfaction at first week review was 93.9% for the fibrin glue group and 75.0% for the suture group (P = 0.027, OR 5.2 [95%CI: 1.1, 24.9]). Patient satisfaction at sixth week review was 97.0% for the fibrin glue group and 77.1% for the suture group (P = 0.023, OR 9.5 [95%CI: 1.2, 77.8]). There was no serious adverse event in this study population. Conclusion: Fibrin glue has shorter mean duration of surgery and significantly higher patient satisfaction at first week and sixth week post-pterygium surgery compared to the suture technique.

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来源期刊

Asian Journal of Ophthalmology Medicine-Ophthalmology

自引率

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发文量

期刊介绍： Asian Journal of OPHTHALMOLOGY is the official peer-reviewed journal of the South East Asia Glaucoma Interest Group (SEAGIG) and is indexed in EMBASE/Excerpta Medica. Asian Journal of OPHTHALMOLOGY is published quarterly (four [4] issues per year) by Scientific Communications International Limited. The journal is published on-line only and is distributed free of cost via the SEAGIG website.