首页|角膜缘干细胞移植联合手术切除治疗对翼状胬肉患者角膜散光度、视力及泪膜功能的影响

角膜缘干细胞移植联合手术切除治疗对翼状胬肉患者角膜散光度、视力及泪膜功能的影响

扫码查看
目的 探究角膜缘干细胞移植联合手术切除治疗对翼状胬肉患者角膜散光度、视力及泪膜功能的影响.方法 选取2019 年6 月至2024 年6 月德驭医疗马鞍山总医院眼科收治的 119 例翼状胬肉患者为研究对象,按照手术治疗方法不同将患者分为试验组(60 例)和对照组(59 例).试验组采用角膜缘干细胞移植联合手术切除治疗,对照组采用手术切除治疗.比较试验组与对照组一般资料、临床疗效、治疗前后角膜散光度、视力、泪膜功能水平及治疗后并发症发生情况.结果 试验组总有效率比例高于对照组,差异有统计学意义(P<0.05).与治疗前比较,试验组与对照组角膜散光度降低、视力水平升高,且试验组角膜散光度水平低于对照组、视力水平高于对照组,差异有统计学意义(P<0.05).与治疗前比较,试验组与对照组泪膜破裂时间及泪液分泌时间均延长,且试验组膜破裂时间及泪液分泌时间长于对照组,差异有统计学意义(P<0.05).试验组感染、巩膜坏死、溶解软化等不良反应总发生率低于对照组,差异有统计学意义(P<0.05).结论 翼状胬肉患者采用角膜缘干细胞移植联合手术切除治疗,能提高临床治疗效果,改善角膜散光度、视力及泪膜功能水平,且能减少感染、巩膜坏死及溶解软化等并发症的发生,安全性较高,值得临床应用.
Effects of Limbal Stem Cell Transplantation Combined with Surgical Exci-sion Treatment on Corneal Dispersion,Visual Acuity and Tear Film Func-tion in Patients with Pterygium
Objective To investigate the effects of limbal stem cell transplantation combined with surgical excision treatment on corneal dispersion,visual acuity and tear film function in patients with pterygium.Methods 119 cases of pte-rygium treated in department of ophthalmology,Deyu medical Ma,anshan general hospital from June 2019 to June 2024 were selected,and according to different surgical treatment methods,they were divided into experimental group(limbal stem cell transplantation combined with surgical excision,n=60)and control group(surgical excision,n=59).The general data,clinical efficacy,keratoluminosity,visual acuity,tear film function level before and after treatment and the incidence of com-plications after treatment of the experimental group and the control group were compared.Results Compared between the two groups,the proportion of total effective rate of the experimental group was higher than that of the control group(P<0.05).Compared with before treatment,corneal diffuser of experimental group and control group decreased and visual acuity level in-creased,and corneal diffuser level of experimental group was lower than control group,visual acuity level was higher than con-trol group(P<0.05).Compared with before treatment,the tear film rupture time and tear secretion time of the experimental group and the control group were prolonged,and the film rupture time and tear secretion time of the experimental group were longer than that of the control group(P<0.05).Compared between the two groups,the total number of adverse reactions such as infection,scleral necrosis,lysis and softening in the experimental group was lower than that in the control group(P<0.05).Conclusion Limbal stem cell transplantation combined with surgical excision for patients with pterygium can improve the clinical therapeutic effect,improve the level of corneal refraction,vision and tear film function,and reduce the incidence of complications such as infection,scleral necrosis and lysis and malacia,which is safe and worthy of clinical promotion.

Pterygium patientsLimbal stem cell transplantation combined with surgical excisionCorneal diffusivi-tyEyesightTear film function

陈亮、李元龙、王怡、石磊

展开 >

243000 安徽马鞍山,德驭医疗马鞍山总医院眼科

230001 合肥,中国科学技术大学附属第一医院眼科

翼状胬肉患者 角膜缘干细胞移植联合手术切除治疗 角膜散光度 视力 泪膜功能

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(7)