Suryawanshi Milind Prasannakumar, Isaac Roshini, Suryawanshi Madhur Milind
Department of Ophthalmology, Armed Forces Hospital, Seeb, Sultanate of Oman.
Medical Student, Bharti Vidyapeeth Deemed University Medical College and Hospital, Sangli, Maharashtra, India.
Oman J Ophthalmol. 2020 Feb 17;13(1):13-17. doi: 10.4103/ojo.OJO_113_2019. eCollection 2020 Jan-Apr.
This retrospective study compared surgical outcome of pterygium excision with conjunctival autograft fixed with sutures, tissue glue or autologous blood in relation to recurrence rate and surgical complications.
Surgical records of 148 patients operated for excision of primary nasal pterygium with conjunctival autograft were reviewed retrospectively for the period between January 2015 and June 2018. Based on surgical technique used to fix the graft, patients were divided into three groups. In Group A, 8 "0" vicryl suture was used to fix the graft in 90 patients. In Group B, fibrin glue was used to fix the graft in 23 patients. In Group C, autologous blood was used to fix the graft in 35 patients. Patients who were operated by single surgeon and had followed up for minimum six months were included in the study.
Group A had recurrence in 7 cases (7.78%) whereas; Group B and C had no recurrence. But, in Group C two patients (5.71%) lost their graft. Overall recurrence rate in the study was 4.72%.
Among the three techniques used in the study, recurrence was seen in the suture group and autologous blood group had loss of graft. The fibrin glue group was free of complications.
本回顾性研究比较了采用缝线、组织胶水或自体血固定结膜自体移植片的翼状胬肉切除术的手术效果，涉及复发率和手术并发症。
回顾性分析2015年1月至2018年6月期间148例行原发性鼻侧翼状胬肉切除联合结膜自体移植术患者的手术记录。根据固定移植片所采用的手术技术，将患者分为三组。A组90例患者采用8-0可吸收缝线固定移植片；B组23例患者采用纤维蛋白胶固定移植片；C组35例患者采用自体血固定移植片。纳入研究的患者均由同一外科医生手术且随访至少6个月。
A组有7例（7.78%）复发；B组和C组无复发。但C组有2例（5.71%）移植片脱落。本研究的总体复发率为4.72%。
在本研究采用的三种技术中，缝线组出现复发，自体血组出现移植片脱落。纤维蛋白胶组无并发症。
