Palewski Marcin, Budnik Agnieszka, Lisowski Łukasz, Konopińska Joanna
Department of Ophthalmology, Medical University of Białystok, Białystok 15-089, Poland.
J Ophthalmol. 2022 Apr 15;2022:1641350. doi: 10.1155/2022/1641350. eCollection 2022.
The aim of the study was to compare the efficacy of the two most commonly used surgical methods for pterygium removal in the Polish population, conjunctival autograft versus amniotic membrane transplantation, and to evaluate the postoperative recurrence rate. A retrospective analysis of the medical records was conducted, including 65 patients who underwent surgery for primary or recurrent pterygium at an ophthalmology clinic in Bialystok, Poland, between 2016 and 2020. Surgical success (no regrowth) was achieved in almost half of the amniotic membrane patients (44%) and in most of the conjunctival autograft patients (79%), with statistical significance. The odds of successful surgery were 79% lower for subjects with amniotic membranes than for those with conjunctival autografts (OR with 95% CI = 0.21 (0.05; 0.94); =0.045). Our study confirms that the conjunctival autograft surgeries present more favorable success rates in Polish Caucasian population when compared to procedures involving amniotic membranes.
该研究的目的是比较波兰人群中两种最常用的翼状胬肉切除手术方法,即结膜自体移植术与羊膜移植术的疗效,并评估术后复发率。对病历进行了回顾性分析,纳入了2016年至2020年期间在波兰比亚韦斯托克一家眼科诊所接受原发性或复发性翼状胬肉手术的65例患者。几乎一半的羊膜移植患者(44%)和大多数结膜自体移植患者(79%)手术成功(无复发),具有统计学意义。接受羊膜移植的患者手术成功几率比接受结膜自体移植的患者低79%(比值比及95%置信区间=0.21(0.05;0.94);P=0.045)。我们的研究证实,与涉及羊膜的手术相比,结膜自体移植手术在波兰白种人群中成功率更高。