自体角膜缘干细胞移植联合胬肉切除与带蒂结膜瓣转移联合胬肉切除治疗翼状胬肉的效果比较.docVIP

自体角膜缘干细胞移植联合胬肉切除与带蒂结膜瓣转移联合胬肉切除治疗翼状胬肉的效果比较JournalofClinicalRehabi中lita国ti组ve织Tis工s程ue研En究g与ine临eri床ng康R复ese第arch卷Ju第ly15,朋200—207o7_Vo1.N曼O管..1]?2廿自体角膜缘干细胞移植联合胬肉切除与带蒂结膜瓣转移联合胬肉切除治疗翼状胬肉的效果比较尹彩芳,姜丽平,张乐,杨华强,林加藤,钱大伟(荣成市第二人民医院眼科,山东省荣成市264309)Curingthepterygiam-PterygiamcuttingandthetransplantationofthepatientslimbusofcorneastemcellsVERSUSpterygiumcuttingandthetransplantationofconjunctivalpedicleflapYinCai—fang,JiangLi—ping,ZhangLe,YangHua—qiang,LinJia-teng,QianDa-wei(Depa~mentofOphthalmology,SecondPeople.sHospitalofRongcheng,Rongcheng264309,ShandongProvince,China)AbstractAⅡ旺:T0exploretheoperationaleffectofthepterygiumtherapywiththemeansofpterygIumcuttingassociatedwiththetransplantationofpatientsownIimbusofcorneastemcel1.andcomparewiththeeffectofpterygiumcuttingassociatedwiththetransplantationofconjunctivalpedicleflap.METH0Ds:Totally420patients(513eyes)withpterygiumwereselectedf巾mtheSecondPeople.sHospitalofRongchengfr0mJanuaw199610December2005.andrandomlydividedinto2groups.withtheinformedconsentsofalIpatients.①Therapeuticgroup=213,257eyes)wastreatedwiththepterygiumcuttingandtheIimbusofcomeastemcelItransplantation.(Controlgroup(n=207,256eyes)wastreatedwiththepterygiumcuttingandthetransplantationofconjunctivalpedicleflap.AftertheoperationsalIofthepatientswerefoIloweduptoevaluatethecurativeeffect.(Dcuring:Thecomeawoundwashealingwell.transparentandsmooth.thegraftsurvived.andconjunctivewascomplete.(recurrence:Theconjunctivalcongestionappeared,localproliferatedulcerpolyptissueinvadedintothecornea.RESULTS:AII420patients(513eyes)wereinvolvedintheresultanalysis.①AIIthesubjectswereobservedfor6—12monthsaftertheoperation.including286casesfor6—9monthsand134casesfor1O一12months.withameanof8months.(Inthetherapeuticgroup.thecureratewas98.83%andtherecurrenceratewas1.16%.butinthecontroIgroupthecureratewas89.45%andtherecurrenceratewas1O.55%.Thereweresignificantdifferencesbetweenthetwogrou10s(Plt;0.01).C0NCLUS10N:WiththeIowerrecurrencerate.thepterygiumcuttingandthetransplantationofpatientsownIi