翼状胬肉切除术联合不同方式球结膜移植术治疗原发性翼状胬肉的效果比较

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Abstract Objective To investigate the clinical effect of pterygium excision combined with free conjunctival flap transplantation or pedicled conjunctival flap transplantation in the treatment of primary pterygium. Methods From November 2017 to October 2018， 60 patients with primary pterygium admitted to the Department of Ophthalmology, the First Affiliated Hospital of Xi′an Jiaotong University were seleted. According to the random number table, they were divided into free group and transposition group, with 30 cases in each group. Free group was given pterygium excision combined with free conjunctiva flap transplantation and transposition group was given pterygium excision combined with padicled conjunctiva flap transplantation. One week after operation, the corneal epithelial wounds, postoperative pain, bloodshot level and comfort level (foreign body feeling, tears) were compared. The recurrence was compared between the two groups half year after operation. Results One week after the operation, there were no significat differences in the corneal epithelial wounds and postoperative pain between two groups (P ＞ 0.05). Bloodshot level of transposition group was lower than that of free group, the difference was highly statistically significant (P < 0.01). Comfort level of transposition group was higher than that of free group, the difference was statistically significant (P < 0.05). Half a year after surgery, pterygium recurred in both groups, but the difference in recurrence rate was not significant between two groups (P ＞ 0.05). Conclusion Both of the two different conjunctival transplantations can effectively treat primary pterygium and reduce the recurrence rate. Moreover, pterygium surgery combined with pedicled conjunctiva flap transplantation can significantly improve the postoperative comfort.

Key words： Primary pterygium Free conjunctiva flap transplantation Pedicled conjunctiva flap transplantation Recurrence rate

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	ZHANG Xiuli LI Mimi ZHANG Ming LIU Zhao

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ZHANG Xiuli LI Mimi ZHANG Ming LIU Zhao. Effect comparison of pterygium excision combined with different methods of conjunctival transplantation in the treatment of primary pterygium[J]. 中国医药导报, 2019, 16(34): 104-107.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I34/104

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