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显微镜下翼状胬肉切除联合自体角膜缘干细胞移植的临床效果
http://www.100md.com 2011年5月15日 《中国医学创新》 2011年第14期
     作者单位:453638 河南省辉县市峪河镇卫生院(张文华);新乡医学院第三附属医院(曹宪勇)

    通讯作者:曹宪勇

    【摘要】 目的 观察显微镜下行翼状胬肉切除联合自体角膜缘干细胞移植治疗复发性翼状胬肉的临床疗效。方法 对62例(67眼)复发性翼状胬肉患者,在显微镜下行胬肉切除联合自体角膜缘干细胞移植手术,术后观察6~18月。结果 67眼复发性胬肉手术后6~18月内,62眼(92.54%)未复发,5眼(7.46%)再次复发。结论 显微镜下翼状胬肉切除联合自体角膜缘干细胞移植治疗复发性胬肉,可以有效预防翼状胬肉再次复发,是目前基层医院医疗条件下较为合适的手术方法。

    【关键词】 翼状胬肉; 角膜缘干细胞; 移植术

    Clinical effect of excision of pterygium combined with self-transplantation of corneal limbal stem cells under the microscope ZHANG Wen-hua,CAO Xian-yong.Health Center of Yuhe town in Huixian, Huixian 453638,China

    【Abstract】 Objective To observe the clinical effect of excision of pterygium combined with self-transplantation of corneal limbal stem cells on recurrent pterygium under the microscope.Methods 67 eyes of 62 patients with recurrent pterygium were conducted with excision of pterygium and self-transplantation of corneal limbal stem cells under the microscope, six to eighteen month's follow-up after operation.Results Only 5 eyes (7.46%) were recurred after six to eighteen month's follow-up in 67 eyes with recrudescent pterygium, and 62 eyes (92.54%) were not recurred.Conclusion The method of excision of pterygium combined with self-transplantation of corneal limbal stem cells on recurrent pterygium under the microscope, can effectively prevent recurrence of pterygium again, and it is more suitable surgical method at the primary hospital medical conditions. ......

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