两种不同手术方式治疗翼状胬肉的疗效对比及对屈光变化的影响-梁高华

z201461020140916、▲533000【】。201310～2015119898、4949。3、。3、3P＜0．053P＞0．05。。【】Ｒ777．33ADOI10．3969/j．issn．1003-1383．2016．03．008ComparisonoftherapeuticeffectsoftwodifferentsurgicalmethodsinthetreatmentofpterygiumanditseffectonrefractivechangesLIANGGaohuaQINＲuiPANJianyingMAWenhao▲LUOYanniAffiliatedHospitalofYoujiangMedicalUniversityforNationalitiesBaise533000China【Abstract】ObjectiveTocomparetherapeuticeffectsoftwodifferentsurgicalmethodsinthetreatmentofpterygiumandtheireffectsonrefractivechanges．Methods98cases98eyesofpterygiumpatientsadmittedtohospitalfromOctober2013toNovember2015wereselectedasresearchobjecttheywererandomlydividedintogroupAandgroupBwith49ca-ses49eyesineachgroup．ThegroupAweretreatedwithpterygiumexcisioncombinedwithautoallergiclimbuscornealstemcellstransplantationwhilethegroupBweretreatedwithpterygiumexcisioncombinedwithamnioticmembranetrans-plantation．Andthennakedeyevisualacuitycornealcurvatureandcornealastigmatismweremeasuredandcomparedbeforeoperationand3weeksafteroperation．ＲesultsNakedeyevisualacuitycornealcurvatureandcornealastigmatism3weeksafteroperationinbothgroupssignificantlyimprovedcomparedwiththose3weeksbeforeoperationP＜0．05anddifferencesoftheabove-mentioned3indexesbeforeoperationand3weeksafteroperationwereallnotstatisticallysignificantP＞0．05．ConclusionAtpresentpterygiumexcisioncombinedwithautoallergiclimbuscornealstemcellstransplantationandpteryg-iumexcisioncombinedwithamnioticmembranetransplantationaretwooperationmethodsthatarecommonlyusedinthetreatmentofpatientswithpterygium．Thetwooperationmethodshavesimilartherapeuticeffectsandeffectsonrefractivechan-gessospecificoperationmethodshouldbeadjustedaccordingtopatients’condition．·082·jxyxjy.cn【Keywords】pterygiumautoallergiclimbuscornealstemcellstransplantationamnioticmembranetransplantationrefrac-tivestatusofcornea、、1。、、、。2。2013102015119898。11．19898、4949。2525242443～7359．1±9．42626232347～7559．2±10．3。P＞0．05。、、。。1．21．2．1s．a．AL-CON-COUVＲEUＲn．v．H20090082320g/L0．5mlH10920107。0．5mm。110-0。210-0。24h14/10d。1．2．233K1K2K=K1－K2。1．3SPSS18．0珋x±stχ2α=0．05。23P＜0．01P＞0．05。1。3P＜0.05P＞0．05。2。3P＜0．01P＞0．05。3。3、3loxl-1·182·[e-mail]45。、、67。8。1n=49珋x±stP0．23±0．070．48±0．19－8．642＜0．010．21±0．060．51±0．22－9．210＜0．01t1．519－0．722－－P＞0．05＞0．052n=49珋x±stP42．51±1．4743．25±1．52－2．450＜0．0542．32±1．4543．30±1．50－3．288＜0．05t0．644－0．163－－P＞0．05＞0．053n=49珋x±stP1．52±0．200．52±0．1230．012＜0．011．50±0．210．49±0．1030．396＜0．01t0．4821．344－－P＞0．05＞0．053P＜0．05。3、910。。。1．J．2013212117-119．2．J．201527184-85．3．J．201335101319-1320．4Perez-ＲicoCPascualGSotomayorSetal．ElastinDevel-opment-AssociatedExtracellularMatrixConstituentsofSubepithelialConnectiveTissueinHumanPterygiumJ．InvestOphthalmolVis-Sci201455106309-6318．5．J．2015336758-760．6．J．2014221158-59．7．J．2013134680-681．8．J．201452439-41．9．J．20152123-124．10．J．201323105752-5753．11．D．2014．2016－05－162016－06－20·282·