Đánh giá kết quả phẫu thuật mộng thịt nguyên phát bằng kỹ thuật chuyển vị kết mạc hai vạt trượt

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Kim Thành Đoàn, Đỗ Thùy Lan Lê, Thị Thùy Linh Quách

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.12

Bộ sưu tập: Metadata

ID: 286053

Thêm vào giỏ Liên kết toàn văn

Đặt vấn đề và mục tiêu nghiên cứu: Mục tiêu của phẫu thuật mộng thịt không chỉ là cắt bỏ mộng thịt mà còn ngăn ngừa sự tái phát. Sử dụng các vạt kết mạc là một cách thức tốt để ngăn ngừa tái phát sau phẫu thuật mộng thịt. Kỹ thuật chuyển vị kết mạc hai vạt trượt có thể dễ dàng được sử dụng để che củng mạc trần rộng hơn thay vì một vạt kết mạc trượt, cho tỷ lệ điều trị thành công cao hơn. Nghiên cứu này nhằm đánh giá kết quả, sự an toàn, tỷ lệ tái phát và các yếu tố liên quan đến tái phát sau phẫu thuật mộng thịt nguyên phát bằng kỹ thuật chuyển vị kết mạc hai vạt trượt. Đối tượng và phương pháp nghiên cứu: Bệnh nhân bị mộng thịt nguyên phát đến khám và điều trị tại Bệnh viện Phú Nhuận. Nghiên cứu can thiệp lâm sàng, không nhóm chứng. Cỡ mẫu gồm 52 mắt của 48 bệnh nhân. Kết quả: Phẫu thuật mộng thịt nguyên phát bằng kỹ thuật chuyển vị kết mạc hai vạt trượt là an toàn. Không có tai biến và biến chứng nghiêm trọng trong và sau phẫu thuật. Các biến chứng ít nghiêm trọng như bị tụ máu dưới mảnh ghép (7,69%)
phù mảnh ghép (1,92%) khỏi trong vòng 1 tháng sau phẫu thuật. Tỷ lệ tái phát mộng thịt là 3,85%. Các yếu tố nguy cơ tái phát mộng thịt qua phân tích đơn biến: tuổi ≤ 45 (p = 0,05)
kích thích ở mắt >
4 tuần (p <
0,01)
mộng độ IV (p <
0,05). Tỷ lệ bệnh nhân hài lòng với kết quả phẫu thuật là khá cao, đạt 92,31%. Kết luận: Phẫu thuật mộng thịt nguyên phát bằng kỹ thuật chuyển vị kết mạc hai vạt trượt là an toàn. Tỷ lệ tái phát mộng thịt thấp. Các yếu tố nguy cơ tái phát mộng thịt: tuổi ≤ 45
kích thích ở mắt >
4 tuần
mộng độ IV. Tỷ lệ bệnh nhân hài lòng với kết quả phẫu thuật là khá cao. Abstract Background/Objectives: The goal of pterygium surgery is not only to remove the pterygium but also to prevent recurrence. Using conjunctival flaps is a good method to prevent recurrence after pterygium surgery. The double-sliding flaps procedure can easily be used to cover the bare sclera more extensively instead of a single sliding conjunctival flap, resulting in a higher treatment success rate. This study aims to evaluate the results, safety, recurrence rate, and factors related to recurrence after primary pterygium surgery using the double-sliding flaps procedure. Materials and method: Patients with primary pterygium who came for examination and treatment at Phu Nhuan General Hospital. Clinical intervention study without control group. The study sample size was 52 eyes of 48 patients. Results: Primary pterygium surgery using the double-sliding flaps procedure is safe. There were no serious complications during or after surgery. Less serious complications include hematoma under the graft (7.69%)
graft edema (1.92%) resolved within 1 month after surgery. The pterygium recurrence rate is 3.85%. Risk factors for pterygium recurrence through univariate analysis: age ≤ 45 (p = 0.05)
eye irritation >
4 weeks (p <
0.01)
grade IV pterygium (p <
0.05). The rate of patients satisfied with the surgical results is quite high, reaching 92.31%. Conclusion: Primary pterygium surgery using the double-sliding flaps procedure is safe. The recurrence rate of pterygium is low. Risk factors for pterygium recurrence: age ≤ 45
eye irritation >
4 weeks
grade IV pterygium. The rate of patients satisfied with the surgical results is quite high. DOI: 10.59715/pntjmp.3.4.2

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