结膜瓣平整程度与初发翼状胬肉术后复发的关系

目的:探讨初发翼状胬肉术后复发的影响因素。方法:对初发翼状胬肉行胬肉切除加结膜瓣转移术,按术后结膜瓣缝合平整程度分为3组,平整组共计36例,39眼;欠平整组共计41例,48眼;不平整组共计19例,22眼。观察各组手术1个月后的睑裂部充血率及结膜瓣平整程度与复发的关系。结果:平整组手术1个月后的睑裂部充血率为7.2%,欠平整组为18.1%,不平整组为30.8%。入选96例109眼的复发率为13.8%,3组的复发率依次为5.1%、12.5%、31.8%。平整组与不平整组复发率差异有统计学意义(P<0.05)。结论:结膜瓣缝合平整可缩短术后愈合时间,减少睑裂部结膜充血及结膜下新生血管形成,是减少术后复发的重要因素。

Relationship between the suture quality of conjunctival flap and the recurrence after surgical treatment on primary pterygium

Objective: To investigate the factors lead to recurrence after surgical treatment on primary pterygium. Methods: After performing excision and self-conjunctiva flap transplantation on primary pterygium, we divided patients into 3 groups according to suture quality.There were 39 eyes of 36 patients in good suture quality group, 48 eyes of 41 patients in general suture quality group, and 22 eyes of 19 patients in low suture quality group. To investigate the hyperemia rate in palpebral fissure one month after operation in each group and the relationship between the suture qualities of conjunctiva flap and recurrence. Results: The hyperemia rate in palpebral fissure one month after operation in good suture quality group was 7.2%, general suture quality group was 18.1%, low suture quality group was 30.8%. The recurrence rates were 5.1%,12.5%,31.8% respectively in each group.Difference between low suture quality group and good suture quality group was significant.(P<0.05).Conclusion: Good suture quality, reducing healing time after operation, reducing the possibility of conjunctiva hyperemia in palpebral fissure, decreasing the neovascularization under conjunctiva, is an important factor that leads to less recurrence.