改良带蒂结膜瓣转位术联合手术切除治疗翼状胬肉的效果及对患者泪膜功能及视力水平的影响OA
Effect of Modified Pedicle Conjunctival Flap Transposition Combined with Surgical Resection in the Treatment of Pterygium and its Effect on Tear Film Function and Visual Acuity Level
目的 研究改良带蒂结膜瓣转位术联合手术切除治疗翼状胬肉患者的效果及对其泪膜功能及视力水平的影响.方法 选取 2020 年 12 月-2022 年 12 月弋阳县人民医院五官科收治的 60 例翼状胬肉患者,经随机数字表法分为对照组(30 例)与观察组(30 例).对照组行手术切除治疗,观察组在其基础上联合改良带蒂结膜瓣转位术治疗,比较两组手术疗效、泪膜功能[泪膜破裂时间(BUT)、基础泪液分泌试验(SIT)]、角膜指标(角膜水平曲度、角膜垂直曲度、角膜散光度)、视力水平及术后复发情况.结果 观察组治疗优良率高于对照组(P＜0.05);两组术后 6 个月BUT、SIT大于术前,且观察组BUT、SIT大于对照组(P＜0.05);两组术后6 个月角膜水平曲度、角膜垂直曲度大于术前,角膜散光度小于术前,且观察组角膜水平曲度、角膜垂直曲度大于对照组,角膜散光度小于对照组(P＜0.05);两组术后 1 周视力水平高于术前(P＜0.05);观察组术后 1 个月视力水平高于对照组(P＜0.05);观察组术后 6 个月复发率低于对照组(P＜0.05).结论 改良带蒂结膜瓣转位术联合手术切除治疗翼状胬肉疗效肯定,可改善患者泪膜功能,纠正其角膜度数,加速视力恢复,降低术后复发风险.
Objective To study the effect of modified pedicle conjunctival flap transposition combined with surgical resection on patients with pterygium and its effect on tear film function and visual acuity level.Methods Sixty patients with pterygium admitted to the Department of Ophthalmology&Otorhinolaryngology,Yiyang County People's Hospital from December 2020 to December 2022 were selected and divided into control group(30patients)and observation group(30 patients)by random number table method.The control group was treated with surgical resection,and the observation group was treated with modified pedicle conjunctival flap transposition on the basis of the control group.The surgical efficacy,tear film function[tear film rupture time(BUT),basic tear secretion test(SIT)],corneal index(corneal horizontal curvature,corneal vertical curvature,corneal astigmatism),visual acuity level and postoperative recurrence were compared between the two groups.Results The excellent and good rate of treatment in the observation group was higher than that in the control group(P＜0.05).The BUT and SIT of the two groups at 6 months after operation were greater than those before operation,and the BUT and SIT of the observation group were greater than those of the control group(P＜0.05).The corneal horizontal curvature and corneal vertical curvature of the two groups at 6 months after operation were greater than those before operation,the corneal astigmatism was smaller than that before operation,andthe corneal horizontal curvature and corneal vertical curvature of the observation group were greater than those of the control group,the corneal astigmatism was smaller than that of the control group(P＜0.05).The visual acuity of the two groups at 1 week after operation was higher than that before operation(P＜0.05).The visual acuity level of the observation group was higher than that of the control group at 1 month after operation(P＜0.05).The recurrence rate of the observation group was lower than that of the control group at 6 months after operation(P＜0.05).Conclusion Modified pedicle conjunctival flap transposition combined with surgical resection is effective in the treatment of pterygium,which can improve the tear film function,correct the corneal degree,accelerate the recovery of visual acuity level and reduce the risk of postoperative recurrence.
廖章飞
弋阳县人民医院五官科,江西 弋阳 334400
临床医学
翼状胬肉胬肉切除术改良带蒂结膜瓣转位术泪膜功能视力水平
PterygiumPterygium excisionModified pedicle conjunctival flap transpositionTear film functionVisual acuity level
《医学信息》 2024 (23)
102-105,4
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