자가결막 피판 전위술을 이용한 군날개 치료의 단기 임상 결과
Short-Term Clinical Outcomes of Pterygium Treatment with Conjunctival Flap Advancement
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목적: 일차성 및 재발성 군날개 치료에 군날개 절제술과 자가결막 피판 전위술을 병합 시행하여 그 치료결과를 알아보고자 하였다. 대상과 방법: 2000년 1월 1일부터 2010년 10월 31일까지 군날개 절제술과 자가결막 피판 전위술을 시행 받고 3개월 이상 경과관찰이가능하였던 169명 169안을 대상으로 군날개의 치료 병력, 수술의 결과와 재발의 유무, 수술 후 합병증 유무를 의무기록을 통해 후향적으로 연구하였다. 결과: 169명의 환자 중 남자가 74명 여자가 95명이었으며, 평균나이는 56 ± 11.9 (31-86)세였다. 일차성 군날개가 140안, 재발성 군날개가 29안이었다. 일차성 군날개 140안 중 139 안(99.2%)이 재발 없이 완치되었으며 1안(0.8%)에서는 공막에 국한된 재발을 보였다. 재발성 군날개 29안 중, 26안(89.7%)은 재발 없이 치료되었고, 3안(10.3%)은 공막에 국한된 재발을 보였다. 임상적으로 유의한 합병증은 관찰되지 않았다. 결론: 군날개의 치료로 군날개 절제술과 자가결막에 의한 피판 전위술의 병합치료는 원발성과 재발성 군날개 모두에서 낮은 재발률과적은 합병증을 보이는 유용한 치료법으로 생각한다.
Abstract
Purpose: The present study reviewed the surgical outcomes of conjunctival flap advancement with pterygial tissue excision in primary and recurrent pterygium. Methods: In a retrospective survey of 169 eyes of 169 patients who underwent pterygial tissue excision and conjunctival flap advancement surgery, after a three-month follow-up minimum, history of pterygium surgery, surgical outcomes, recurrence rates, and complications were evaluated. Results: The study included 74 male and 95 female patients. The mean age was 56 ± 11.93 years (range: 31-81 years). One hundred and forty eyes were considered as primary pterygium without history of surgery and 29 eyes were considered as recurrent pterygium. In the cases of primary pterygium, 139 eyes were treated after the surgery without recurrence (success rate: 99.2%) and one recurred case was localized to the sclera. Among the 29 eyes with recurrent pterygium, 26eyes were treated without recurrence (success rate: 89.7%) and 3 recurred cases were localized to the sclera. There were no significant complications related to the surgical procedures. Conclusions: Conjunctival flap advancement surgery with pterygial tissue excision was an effective method in primary and recurrent pterygium treatment and showed low recurrence and minimal complications.
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