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为解决翼状胬肉术后复发难题,在翼状胬肉广泛性切除方法基础上,提出三重眼表解剖屏障重建术,并对预防术后复发进行4年随访观察。将初发性翼状胬内118眼随机分入A、B两组,A组52眼单纯行翼状胬肉广泛性切除术,B组66眼在此基础上联合行三重眼表解剖屏障重建术。术后进行裂隙灯随访评定,随访时间平均59±3.6个月。结果表明,A组52眼中42眼取得根治性治愈,占80.8%,复发10眼,占19.2%;B组66眼全部获得根治性治愈,复发率为零。两组间比较,差异有非常显著意义(r~2检验p<0.001)。结沦:翼状胬肉广泛性切除联合三重眼表解剖屏障重建术对初发性翼状胬肉可达到彻底根治的目的,可推荐为治疗翼状胬肉的首选方法。
In order to solve the problem of recurrent pterygium surgery, based on the extensive excision of pterygium, we propose triple ocular surface anatomic barrier reconstruction, and observe the recurrence after 4-year follow-up. One hundred and eighteen patients with primary pterygium were randomly divided into groups A and B, group A (52 eyes) with simple pterygium excision, and group B (66 eyes) combined with triple ocular surface anatomic barrier reconstruction. Postoperative slit lamp follow-up assessment, followed up an average of 59 ± 3.6 months. The results showed that in 42 eyes of group A, 42 eyes achieved radical cure, accounting for 80.8%, recurrence of 10 eyes, accounting for 19.2%; 66 eyes of group B received radical cure and the recurrence rate was zero. The difference between the two groups was significant (r ~ 2 test p <0.001). Conclusion: Pterygium extensive excision combined with triple ocular surface anatomical barrier reconstruction of primary pterygium can be completely eradicated can be recommended as the preferred method of treatment of pterygium.