翼状胬肉切除联合自体球结膜移植术疗效观察.docVIP

翼状胬肉切除联合自体球结膜移植术疗效观察 　　[摘要] 目的 分析总结翼状胬肉切除联合自体球结膜移植术的方法及疗效。 方法 对65例（76眼）初发性翼状胬肉患者行翼状胬肉切除联合自体球结膜移植术，观察术后反应、移植片生长情况及翼状胬肉复发情况。 结果 65例（76眼）其角膜创面上皮于1~3 d修复，未见植片排斥反应发生，术后随访3～12个月，复发2眼，占2.6%。 结论 翼状胬肉切除联合自体球结膜移植术治疗翼状胬肉，创面修复快，植片无排异，能有效防止翼状胬肉术后复发，是治疗翼状胬肉较好的手术方法。 　　[关键词] 翼状胬肉；切除；自体球结膜移植；疗效 　　[中图分类号] R777.33 [文献标识码] A [文章编号] 1674-4721（2012）02（a）-0176-02 　　 　　Clinical observation on pterygium excision combined with autologous bulbar conjunctiva transplantation 　　WU Qingli 　　Ophthalmology Department of Changping Hospital of Traditional Chinese Medicine, Beijing 102200, China 　　[Abstract] Objective To analyze and summarize the methods and curative effect of the pterygium excision combined with autologous bulbar conjunctiva transplantation. Methods Sixty five cases (76 eyes) of patients with primary pterygium were treated by pterygium excision combined with autologous bulbar conjunctiva transplantation, postoperative reactions, growth situations of transplantation and the relapse rates of pterygium were observed. Results Sixty five cases (76 eyes) of the cornea epithelial wounds in 1-3 d were repaired, there was no graft rejection, recurrence of 2 eyes with the postoperative follow-up from 3 months to 12 months, accorded for 2.6%. Conclusion Pterygium excision combined with autologous bulbar conjunctiva transplantation in the treatment of pterygium can repair the wounds fast, and has no graft rejection, it is a better treatment of pterygium surgical method which can effectively prevent recurrent pterygium. 　　[Key words] Pterygium; Resection; Autologous bulbar conjunctiva transplantation; Curative effect 　　 　　翼状胬肉是眼科的常见病之一，其确切发病原因尚不十分明了，多与户外工作有关，常见于农民、渔民。紫外线辐射是翼状胬肉最主要的危险困素，其次可能与风沙、粉尘等相关，但其他危险因素如老龄、性别、种族等均有可能提高其患病率[1]。基层医院面临农村，故翼状???肉在基层医院尤为多见。翼状胬肉的治疗目前仍以手术为主，传统的手术方法很多，但复发率高。2008年5月～2010年5月，本院采用翼状胬肉切除联合自体球结膜移植治疗初发性翼状胬肉65例，取得了令人满意的效果，现报道如下： 　　1 资料与方法 　　1.1 一般资料 　　本组65例（76眼），其中，男30例（35眼），女35例（41眼）。年龄40～71岁，平均年龄55岁，职业以农民居多。所有病例均行视力、裂隙灯、眼底、眼压等眼科常规检查。翼状胬肉均为初发，多位于角膜鼻侧，其头部侵入角膜