Koranyi Gabor, Seregard Stefan, Kopp Eva Dafgård
St. Erik's Eye Hospital, Karolinska Institute, Stockholm, Sweden.
Acta Ophthalmol Scand. 2005 Jun;83(3):298-301. doi: 10.1111/j.1600-0420.2005.00465.x.
To evaluate the recurrence rate, reoperation rate and side-effects of a novel technique for pterygium surgery.
Retrospective study.
The study included 461 eyes of 381 patients operated for primary nasal pterygium by the same surgeon between 1994 and 2003 and followed for 23 +/- 20 months (range 6-112 months).
Autologous conjunctival grafts harvested at the superotemporal limbus were used to cover the sclera after pterygium excision. Using a retrospective chart review, the outcome after attaching the transplant to the sclera with a fibrin tissue adhesive (n = 325) was compared to the outcome after graft attachment using absorbable sutures (n = 136).
Recurrence rate, reoperation rate and complications.
The recurrence rate was 5.3% in the glue group and 13.5% in the suture group (p = 0.01). The reoperation rates were 1.2% and 3.3%, respectively (p = 0.31). Complications, such as transient transplant oedema and persistent corneal epithelial defects, occurred equally in both groups.
Using a fibrin tissue adhesive instead of sutures when attaching the conjunctival transplant in primary pterygium surgery results in a significantly lower recurrence rate.
评估一种新型翼状胬肉手术技术的复发率、再次手术率及副作用。
回顾性研究。
本研究纳入了1994年至2003年间由同一位外科医生为原发性鼻侧翼状胬肉实施手术的381例患者的461只眼，随访时间为23±20个月（范围6 - 112个月）。
在颞上缘采集自体结膜移植物，在翼状胬肉切除后覆盖巩膜。通过回顾性病历审查，比较使用纤维蛋白组织粘合剂将移植物附着于巩膜后的结果（n = 325）与使用可吸收缝线进行移植物附着后的结果（n = 136）。
复发率、再次手术率及并发症。
胶水组的复发率为5.3%，缝线组为13.5%（p = 0.01）。再次手术率分别为1.2%和3.3%（p = 0.31）。两组均同样出现了如短暂性移植物水肿和持续性角膜上皮缺损等并发症。
在原发性翼状胬肉手术中，使用纤维蛋白组织粘合剂而非缝线附着结膜移植物可使复发率显著降低。
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