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翼状胬肉切除术联合口腔黏膜移植术治疗翼状胬肉的临床应用研究

李安 于新丽 韦玲

广西医科大学学报2017,Vol.34Issue(6):860-862,3.
广西医科大学学报2017,Vol.34Issue(6):860-862,3.DOI:10.16190/j.cnki.45-1211/r.2017.06.017

翼状胬肉切除术联合口腔黏膜移植术治疗翼状胬肉的临床应用研究

Clinical application of pterygium excision combined with oral mucosa transplantation in the treatment of pterygium

李安 1于新丽 2韦玲3

作者信息

  • 1. 广西河池市第一人民医院眼科,河池546300
  • 2. 河池市人民医院病案科,河池546300
  • 3. 河池市人民医院口腔科,河池546300
  • 折叠

摘要

Abstract

Objective:To investigate the clinical effect of pterygium excision combined with oral mucosa transplantation in the treatment of pterygium.Methods:120 patients with pterygium treated in our hospital from July 2012 to August 2013 were selected and randomly divided into an observation group and a control group,with 60 cases in each group.Patients in the observation group received pterygium excision combined with oral mucosa transplantation,while those in the control group received pterygium excision only.The operation time,postoperative recovery time,visual analogue scale (VAS) score and recurrence rate were compared between the two groups.Results:The operative time was higher,while the corneal epithelial healing time and graft healing time were lower than those in the control group (P<0.05).The VAS scores on day 1,4 and 7 postoperation in both groups were continuously decreased,but more significantly decreased in the observation group (P<0.05).After 3,6 and 12 months of treatment,the recurrence rates were respectively 5.13%,11.54% and 16.67% in the observation group,and were 28.00%,42.67% and 52.00% in the control group.There was significant difference in the recurrence rate between the two groups (P>0.05).Conclusion:Pterygium excision combined with oral mucosa transplantation in the treatment of primary pterygium was effective.It could relief postoperative pain and promote healing of the cornea,with low recurrence rate,safe and reliable.

关键词

翼状胬肉切除术/口腔黏膜移植术/疼痛/复发

Key words

pterygium excision/oral mucosa graft/pain/relapse

分类

医药卫生

引用本文复制引用

李安,于新丽,韦玲..翼状胬肉切除术联合口腔黏膜移植术治疗翼状胬肉的临床应用研究[J].广西医科大学学报,2017,34(6):860-862,3.

基金项目

河池市科学研究与开发计划资助项目(No.河科转124005) (No.河科转124005)

广西医科大学学报

OACSTPCD

1005-930X

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