目的:分析三种手术方式治疗翼状胬肉的效果,探寻减少复发的最佳术式。方法:第一组48例51眼单纯翼状胬肉切除术,第二组46例47眼行带蒂结膜瓣移植联合丝裂霉素C术,第三组43例45眼行角膜缘干细胞移植术。结果:患者术后随访观察6mo～2a,其中第一组有13眼复发,复发率为25%。第二组有3眼复发,复发率为6%。第三组有1眼复发,复发率为2%。结论:自体角膜缘干细胞移植可有效降低翼状胬肉术后的复发率,是目前较理想的手术方法。

AIM:To analyze the effects of three surgical methods for treatment of pterygium,and explore the best surgical procedures to reduce recurrence.METHODS:The first group of 51 eyes of 48 patients with pterygium were given excision alone,the second group of 46 patients with 47 eyes underwent pedicle conjunctival graft surgery with mitomycin C,and the third group of 45 eyes of 43 patients were treated with limbal stem cell transplantation.RESULTS:Patients were followed up for 6 months to 2 years.The first group had 13 eyes recurrence,the recurrence rate was 25%;the second group had 3 eyes recurrence,the recurrence rate was 6%,and the third group had 1 eye recurrence,recurrence rate was 2%.CONCLUSION:Limbal stem cell transplantation can effectively reduce the recurrence rate of pterygium,it is an ideal surgical method.

R779.6