翼状胬肉扩大切除联合自体结膜移植和羊膜移植的长期疗效
Long-Term Outcomes of Pterygium Extended Removal Combined with Conjunctival Autograft and Amniotic Membrane Transplantation.
作者信息
Li Kuanshu, Wang Kehua, Zou Guihua, Wang Congxiang, Huang Wei
机构信息
Changsha Aier Eye Hospital, Changsha, China.
出版信息
Curr Eye Res. 2025 Jul;50(7):695-699. doi: 10.1080/02713683.2025.2488022. Epub 2025 Apr 8.
PURPOSE
To observe the Long-term results of pterygium extended removal combined conjunctival autograft and amniotic membrane transplantation.
METHODS
This is a prospective study of 666 eyes (606 patients, 332 right eyes and 336 left eyes). All patients underwent pterygium extended removal combined conjunctival autograft and amniotic membrane transplantation in a same hospital. The primary outcome measures included the cosmetic appearances and recurrence rate; the secondary outcome measures were some serious complications, like Keratitis, conjunctival cyst and conjunctival granuloma.
RESULTS
606 patients (82.34% of surviving) were able to be followed up. The mean follow-up period was 29.96 ± 13.34 months. Recurrence was noted in 7 eyes (1.05%), and there were no serious complications. 89.04% of eyes were graded as having excellent cosmetic appearance.
CONCLUSIONS
The long-term recurrence rate of pterygium extended removal combined conjunctival autograft and amniotic membrane Graft is very low, and the long-term cosmetic appearance is excellent. And also, there were no other serious complications.
目的
观察翼状胬肉扩大切除联合结膜自体移植及羊膜移植的远期效果。
方法
这是一项对666只眼（606例患者，右眼332只，左眼336只）的前瞻性研究。所有患者均在同一家医院接受翼状胬肉扩大切除联合结膜自体移植及羊膜移植。主要观察指标包括外观和复发率；次要观察指标为一些严重并发症，如角膜炎、结膜囊肿和结膜肉芽肿。
结果
606例患者（82.34%存活）得以随访。平均随访时间为29.96±13.34个月。7只眼（1.05%）复发，未出现严重并发症。89.04%的眼外观评为优秀。
结论
翼状胬肉扩大切除联合结膜自体移植及羊膜移植的远期复发率很低，远期外观良好，且未出现其他严重并发症。
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