翼状胬肉切除术后曲安奈德结膜下注射的探讨

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摘要 中图分类号R777.3文献标识码A文章编号1672-3783(2015)07-0554-02摘要目的探讨翼状胬肉切除术后曲安奈德结膜下注射的疗效。方法回顾性分析82例(102只眼)翼状胬肉,所有病例均先行显微镜下翼状胬肉切除联合自体角膜缘干细胞移植术。然后随机分为两组(观察组及对照组)。观察组41例(50只眼)曲安奈德4mg于术毕及术后1月局部球结膜下注射。对照组41例(52只眼),不行曲安奈德结膜下注射。结果术后随访12月,观察组中6例(12.0%)翼状胬肉复发。对照组16例(30.8%)翼状胬肉复发(P<0.05),有显著差异,提示应用曲安奈德能降低翼状胬肉术后的复发率。结论曲安奈德结膜下注射可以作为翼状胬肉切除术后减少其复发的常规应用。
出处 《健康必读》 2015年7期
关键词 翼状胬肉,复发,曲安奈德,结膜下注射Clinicalanalysisoftheeffectsofpostoperativetriamcinoloneinjectiononthepterygium surgery.__Jintangfirstpeople&rsquo shospital.Sichuanprovince610400.AbstractObjectiveToevaluatetheeffectsofpostoperativetriamcinoloneinjectiononthepterygiumsurgery.MethodsThisprospectivestudyincluded82cases(102eyes)withpterygiumthatunderwentpterygiumexcisionwithcorneallimbalstemcellautografting.Patientswererandomizedintotwogroups(observationgroupandcontrolgroup).theobservationgroupincludes41cases(50eyes)thatreceivedsubconjunctivalinjectionof4mgtriamcinoloneattheendofsurgeryandpostoperative1month.andinthecontrolgroup41cases(52eyes)thatdidnotreceivetriamcinoloneinjection.ResultsTwelve-monthfollow-upwascompletedinalleyes,6(12.0% )eyesintheobservationgroupand16(30.8%)eyesinthecontrolgrouppterygiumrecurrence.(P<0.05).therearestatisticallysignificantdifferences.triamcinoloneinjectionreducethepterygiumrecurrencerate.Conclusionsthetriamcinoloneinjectioncanbeusedroutinelytoreducepostoperativepterygi
出版日期 2015年07月17日(中国期刊网平台首次上网日期,不代表论文的发表时间)

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健康必读

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翼状胬肉,复发,曲安奈德,结膜下注射Clinicalanalysisoftheeffectsofpostoperativetriamcinoloneinjectiononthepterygium surgery.__Jintangfirstpeople&rsquo shospital.Sichuanprovince610400.AbstractObjectiveToevaluatetheeffectsofpostoperativetriamcinoloneinjectiononthepterygiumsurgery.MethodsThisprospectivestudyincluded82cases(102eyes)withpterygiumthatunderwentpterygiumexcisionwithcorneallimbalstemcellautografting.Patientswererandomizedintotwogroups(observationgroupandcontrolgroup).theobservationgroupincludes41cases(50eyes)thatreceivedsubconjunctivalinjectionof4mgtriamcinoloneattheendofsurgeryandpostoperative1month.andinthecontrolgroup41cases(52eyes)thatdidnotreceivetriamcinoloneinjection.ResultsTwelve-monthfollow-upwascompletedinalleyes,6(12.0% )eyesintheobservationgroupand16(30.8%)eyesinthecontrolgrouppterygiumrecurrence.(P<0.05).therearestatisticallysignificantdifferences.triamcinoloneinjectionreducethepterygiumrecurrencerate.Conclusionsthetriamcinoloneinjectioncanbeusedroutinelytoreducepostoperativepterygi