翼状胬肉切除联合“H”型结膜瓣成型术手术前后视力及屈光的变化.docVIP

精品论文 参考文献 翼状胬肉切除联合“H”型结膜瓣成型术手术前后视力及屈光的变化 张晓红1 陈忠飞2 黄静3 刘红伟1 王月1 潘叶4 　　（1.河北省盐山县阜德医院眼科 河北 盐山 061300；2.沧州眼科医院 河北 沧州 061000） 　　（3.河北省盐山县人民医院 河北 盐山 061300；4.天津市眼科医院 天津 300022） 　　【摘 要】目的：研究翼状胬肉切除联合“H”型结膜瓣成型术，治疗侵入角膜内不同程度胬肉对视力和屈光的影响，及手术前后视力及屈光的改变。方法：单侧翼状胬肉103例(108只眼)分2组,按胬肉侵入角膜内程度分为≦2mm组、2-4mm组；行“翼状胬肉切除联合H型结膜瓣成型术。对比分析术前术后的胬肉侵入角膜内的程度以及视力、屈光状态变化。侵入角膜缘内≦2mm组为A组。2-4mm组为B组。两组均行术前及术后拆线、术后1月的视力及角膜曲度的比较。与术前的差异有统计学意义。结果：A、B两组术后拆线、一月的角膜曲度与术前的差异有统计学意义。B组术后拆线、一月的矫正视力与术前的差异有统计学意义。A组术前、术后的裸眼及矫正视力比较无统计学意义。结论：翼状胬肉切除联合H型结膜瓣成型术可以使角膜屈光改变，提高视力，胬肉侵入角膜越多，那么对患者的角膜屈光和视力的影响也就越大。 　　【关键词】翼状胬肉；翼状胬肉切除联合H型结膜瓣成型术；角膜曲度；视力；散光； 　　【中图分类号】R61 【文献标识码】A 【文章编号】1004-6194（2015）01-0043-02 　　【Abstract】objective：to study the pterygium excision with conjunctival flap H shape, invade the cornea in different degree useful influence on visual acuity and refractive, and vision before and after surgery and the change of the refractive. Methods：103 cases of unilateral pterygium (108 eyes) of two groups, according to the useful into corneal degree is divided into inside ≦ 2 mm group, 2-4 mm; Line \pterygium excision with conjunctival flap Hshape. Compare the preoperative and postoperative useful into cornea in different degrees of vision and the effect of refractive status and change. Intrusion in corneal limbus ≦ 2 mm as A group. Group B for 2-4 mm group. Two groups were performed preoperative and postoperative stitch, the comparison of postoperative vision and corneal curvature in January. And the difference was statistically significant. The results of A and B two groups of postoperative stitch, January of corneal curvature and the difference was statistically significant, group B stitch, January after operation, the corrected visual acuity and the difference was statistically significant. A set of preoperative and postoperative naked eye and vision correction is no statistical significance. Conclusions：pterygium excision with conjunctival flap H the molding technique can make the corneal refracti