游离带结膜角膜缘上皮移植联合羊膜覆盖及丝裂霉素C治疗复发性翼状胬肉疗效观察

    Cornesocleral limbus autotransplantation combined with amnion covering and mitomycin C for treatment of recurrent pterygium

    • 摘要: 目的:探讨游离带结膜角膜缘上皮移植联合羊膜覆盖及丝裂霉素C治疗复发性翼状胬肉的临床效果。方法:在21例复发性翼状胬肉患者切除胬肉组织后,于巩膜创面放置含0.02%丝裂霉素C的棉片2 min;0.9%氯化钠注射液充分冲洗创面后,用羊膜覆盖全部角膜结膜创面,带角膜缘上皮的结膜在羊膜表面移植于角膜缘。术后随访3年。结果:21例患者术后刺激症状均较轻,1周后症状基本消失,2~4周羊膜溶解吸收。随访3年,复发2例。结论:游离带结膜角膜缘上皮移植联合羊膜覆盖及丝裂霉素C治疗复发性翼状胬肉,术后刺激症状轻,复发率低,是一种安全、有效的治疗方法。

       

      Abstract: Objective: To evaluate the effect of cornesocleral limbus autotransplantation combined with amnion covering and mitomycin C in treatment of recurrent pterygium.Methods: The ulcer polyp in 21 cases(21 eyes) of recurrent pterygium were removed,and then a piece of absorbent cotton containing 0.02% mitomycin C was put on the exposed area of the sclera for two minutes;after fully washed with 0.9% normal saline,the whole surface of the cornea and sclera was covered with a large piece of preserved amnion;the conjunctiva with corneal limbus epithelium was sutured on the limbus above the amnion.All the patients were followed up for three years.Results: The postoperative symptoms in the 21 cases were slight,which disappeared after one week.Two to four weeks later,the amnion was absorbed.The pterygium recurred in two cases during the follow-up period.Conclusions: Cornesocleral limbus autotransplantation combined with amnion covering and mitomycin C is safe and effective for treatment of recurrent pterygium with low recurrences and slight postoperative symptoms.

       

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