翼状胬肉手术中使用结膜自体移植和 Tissucol 的长期随访。
Long-term follow-up of pterygium surgery using a conjunctival autograft and Tissucol.
机构信息
Academic Medical Center, Department of Ophthalmology, Amsterdam, The Netherlands.
出版信息
Cornea. 2011 Jan;30(1):34-6. doi: 10.1097/ICO.0b013e3181dea7f0.
PURPOSE
To evaluate the rate of recurrence and to detect pre- or postoperative complications in pterygium surgery using fibrin glue to attach the conjunctival autograft.
METHODS
Retrospective case series. In a period of 20 months, 35 patients were operated on for a pterygium using a conjunctival autograft, of which 7 patients were operated (20%) for a recurrent pterygium. The autograft was glued with Tissucol Duo 500, a human tissue glue. Follow-up was at least 1 year.
RESULTS
Mean age was 50.4 years (range, 23-80 years), 18 women and 17 men. Success rate was 97.1%. In 1 patient with a primary pterygium, the lesion recurred after 4 months (2.9%). One autograft was lost on the first postoperative day. No other pre- or postoperative problems were encountered.
CONCLUSIONS
The use of Tissucol fibrin glue seems to be a safe, easy, and effective technique for attaching the conjunctival autograft in pterygium surgery. The recurrence rate of the procedure is low.
目的
评估使用纤维蛋白胶固定结膜移植物治疗翼状胬肉手术后的复发率，并检测术前或术后并发症。
方法
回顾性病例系列研究。在 20 个月的时间里，有 35 名患者因翼状胬肉接受了结膜移植物手术，其中 7 名患者（20%）因复发性翼状胬肉接受了手术。使用纤维蛋白胶 Tissucol Duo 500 固定移植物。随访时间至少为 1 年。
结果
平均年龄为 50.4 岁（范围为 23-80 岁），女性 18 例，男性 17 例。成功率为 97.1%。在 1 例原发性翼状胬肉患者中，术后 4 个月（2.9%）病变复发。1 例移植物在术后第 1 天丢失。未发现其他术前或术后问题。
结论
使用纤维蛋白胶 Tissucol 似乎是一种安全、简便、有效的方法，可用于固定翼状胬肉手术中的结膜移植物。该手术的复发率较低。
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