翼状胬肉切除联合自体角膜缘干细胞结膜移植术后复发原因分析(2)
综上所述,翼状胬肉切除联合自体角膜缘干细胞结膜移植术虽然可以较单纯翼状胬肉切除、翼状胬肉切除并羊膜移植术能降低胬肉手术复发率,但如果要进一步降低及至避免复发需要术前排除干眼等眼部疾病,并且术者具有高超的显微手术技巧,术中彻底切除胬肉、严密止血,术后正确的点眼技术指导并且及时控制眼部炎症,可以达到较好的手术疗效。
[参考文献]
[1]靳雷,崔建萍.不同术式治疗翼状胬肉的疗效观察[J].国际眼科杂志,2009,9 (6):1218.
[2]Sarnicola V,Vannozzi L,Motolese PA.Recurrence rate using fibrin glue-assisted ipsilateral conjunctival autograft in pterygium surgery:2-year follow-up[J].Cornea,2010, 29(11):1211-1124.
[3]Alpay A, U?urba? SH,Erdo?an B.Comparing techniques for pterygium surgery[J].Clin Ophthalmol 2009,3:69-74.
[4]T seng SC.Concept and application of limbal stem cells[J].Eye,1989, 3:141-157.
[5]T seng SC.Regulation and clinical implications of corneal epithelial stem cells[J].Mol BiolRep, 1996,23:47-58.
[6]LiM,ZhangM,Lin Y,et al.Tear function and goblet cell density after pterygium excision[J].Eye,2007,21 (2):224-228.
[7]Wang S,Jiang B,Gu Y.Changes of tear film function after pterygium operation.Ophthalmic Res[J],2011,45(4):210-215.
[8]Su CY,Tsai JJ,Chang YC,et al.Immunologic and clinical manifestations of infectious scleritis after pterygium excision[J].Cornea,2006,25(6):663-666.
[收稿日期]2012-03-25 [修回日期]2012-06-19
编辑/张惠娟, http://www.100md.com(苗培建 杨玲)
[参考文献]
[1]靳雷,崔建萍.不同术式治疗翼状胬肉的疗效观察[J].国际眼科杂志,2009,9 (6):1218.
[2]Sarnicola V,Vannozzi L,Motolese PA.Recurrence rate using fibrin glue-assisted ipsilateral conjunctival autograft in pterygium surgery:2-year follow-up[J].Cornea,2010, 29(11):1211-1124.
[3]Alpay A, U?urba? SH,Erdo?an B.Comparing techniques for pterygium surgery[J].Clin Ophthalmol 2009,3:69-74.
[4]T seng SC.Concept and application of limbal stem cells[J].Eye,1989, 3:141-157.
[5]T seng SC.Regulation and clinical implications of corneal epithelial stem cells[J].Mol BiolRep, 1996,23:47-58.
[6]LiM,ZhangM,Lin Y,et al.Tear function and goblet cell density after pterygium excision[J].Eye,2007,21 (2):224-228.
[7]Wang S,Jiang B,Gu Y.Changes of tear film function after pterygium operation.Ophthalmic Res[J],2011,45(4):210-215.
[8]Su CY,Tsai JJ,Chang YC,et al.Immunologic and clinical manifestations of infectious scleritis after pterygium excision[J].Cornea,2006,25(6):663-666.
[收稿日期]2012-03-25 [修回日期]2012-06-19
编辑/张惠娟, http://www.100md.com(苗培建 杨玲)