[关键词]
[摘要]
目的:评价翼状胬肉切除联合角膜干细胞移植术后配戴绷带镜的临床效果。
方法:本研究为前瞻性分析,选择2015-08/2018-02入我院行翼状胬肉切除联合角膜干细胞移植术患者110例110眼,随机数字表法将其分为对照组和观察组各55例55眼,对照组术后常规观察,观察组术后配戴绷带镜; 采用视觉模拟评分(VAS)比较术后1、3d,1wk的疼痛情况,采用荧光素钠染色法(FL)评估角膜上皮愈合情况及并发症发生率。
结果:观察组术后1、3d,1wk VAS评分和角膜上皮愈合评分均明显低于对照组,差异均有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。
结论:翼状胬肉切除联合角膜干细胞移植术后配戴绷带镜有较好的应用安全性和有效性,可减轻胬肉手术后疼痛,促进上皮愈合。
[Key word]
[Abstract]
AIM: To evaluate the clinical effect of wearing bandage lens after pterygium excision combined with corneal stem cell transplantation.
METHODS: This study was a prospective analysis. Totally 110 cases 110 eyes of pterygium excision combined with corneal stem cell transplantation admitted to our hospital from August 2015 to February 2018 were randomly divided into control group and observation group with 55 cases in each group. Patients in observation group wore bandage lens after operation. Visual analogue scale(VAS)was used to evaluated the pain 1, 3d and 1wk after operation. Fluorescein staining(FL)was used to evaluate the corneal epithelial healing and the incidence of complications.
RESULTS: The VAS score and corneal epithelial healing score of the observation group were significantly lower than those of the control group at 1, 3d and 1wk after operation(P<0.05). There was no difference in the incidence of complications between the two groups(P>0.05).
CONCLUSION: It is safe and effective to wear bandage lens after pterygium excision combined with corneal stem cell transplantation. It can relieve pain and promote epithelial healing after pterygium operation.
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