Comparison of conjunctival autograft and conjunctival transposition flap techniques in primary pterygium surgery.
Comparison of conjunctival autograft and conjunctival transposition flap techniques in primary pterygium surgery.
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DOI：
10.1016/j.sjopt.2017.11.002
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发表时间：
2018-04
期刊：
影响因子：
--
通讯作者：
Bilge AD
中科院分区：
文献类型：
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作者：
Bilge AD
探讨并比较自体结膜移植与结膜瓣转位术治疗原发性翼状胬肉的疗效。回顾性、干预性病例系列分析。回顾性分析了48例翼状胬肉手术患者的病历资料，这些患者接受了自体结膜移植或结膜转位移植用于原发性翼状胬肉手术。翼状胬肉切除术后结膜缺损行自体结膜移植21眼，结膜瓣转位27眼。所有手术均在结膜下麻醉下使用8.0薇乔缝线进行。比较两组翼状胬肉大小、手术时间、并发症及复发情况。翼状胬肉平均大小结膜瓣移位组为2.8mm，自体结膜移植组为3.4mm（P < 0.01）。结膜转位瓣组和自体结膜移植组的平均手术时间分别为15.9和21.7分钟。自体结膜移植组1眼术后移植物下有血肿形成。在自体结膜移植和结膜转位瓣组中仅观察到一例复发（分别为3.7%和4.7%）。平均随访时间结膜瓣移位组为11.78个月，结膜瓣自体移植组为14.95个月（P < 0.01）。在治疗原发性翼状胬肉时，结膜瓣移位术和自体结膜移植术在复发率和手术并发症方面具有相同的结果。结膜瓣移位术的手术时间明显缩短。结膜瓣转位术是一种较好的翼状胬肉手术方法。
To investigate and compare the efficacy of conjunctival autograft and conjunctival transpositional flap for the treatment of primary pterygium surgery. Retrospective, interventional case series analysis. Medical records of 48 patients who underwent pterygium surgery by conjunctival autograft or conjunctival transpositional graft for primary pterygium surgery were reviewed. The conjunctival defects after pterygium excision were repaired in 21 eyes with conjunctival autograft and in 27 eyes with conjunctival transpositional flaps. All operations were performed under subconjunctival anesthesia using 8.0 vicryl sutures. Two groups were compared in terms of pterygium size, surgery time, complications and pterygium recurrence. Mean pterygium size was 2.8 mm in conjunctival transpositional flap group, and 3.4 mm in conjunctival autograft group (p < 0.01). Mean surgery time in conjunctival transpositional flap and conjunctival autograft groups was 15.9 and 21.7 min, respectively. The haematoma formation under the graft was observed postoperatively in one eye of conjunctival autograft group. The only one case of recurrence was observed in both conjunctival autograft and conjunctival transpositional flap groups (3.7% and 4.7%, respectively). Mean follow up time was 11.78 months in conjunctival transpositional flap group and 14.95 months in conjunctival autografting group (p < 0.01). Both conjunctival transpositional flap and conjunctival autograft techniques have same results in terms of pterygium recurrence and surgery complications in the treatment of primary pterygium. Surgery time in conjunctival transpositional flap technique is significantly shorter. Conjunctival transpositional flap technique may be a good alternative method for primary pterygıum surgery.