【摘要】 目的:观察羊膜移植、自体结膜移植、自体板层结膜+角膜+巩膜移植3种手术方式治疗翼状胬肉后的复发情况。方法:翼状胬肉患者15 0例、186眼,其中5 0例、5 6眼行翼状胬肉切除+羊膜移植术,4 6例、6 2眼行翼状胬肉切除+自体结膜移植术,5 4例、6 8眼行翼状胬肉切除+自体板层结膜、角膜、巩膜移植术。结果:羊膜移植治愈4 5眼,治愈率为84 .0 % ,复发11眼,复发率为19.6 0。自体结膜移植治愈4 4眼,治愈率为70 .9% ;复发18眼,复发率为2 9.1% ,自体板层结膜+角膜+巩膜移植治愈6 5眼,治愈率为95 .6 % ;复发3眼,复发率为4 .4 %。结论:翼状胬肉切除+自体板层结膜、角膜、巩膜移植术后复发率低,近期和远期效果均优于其他两种方法,可能成为翼状胬肉治疗中预防复发的更为有效的术式。更多还原

【Abstract】 Objective: To observe the therapeutic effect of amniotic membrane transplantation(AMT),conjunctival autograft,conjunctival limbus plus corneal plus selerotic autograft for pterygium.Methods:Among the 186 eyes (150 cases) with pterygium,56 eyes were treated by AMT after excision of pterygium,62 eyes (46 cases) by conjunctival autograft,and 68 eyes (54 cases)by conjunctival,limbus corneal selerotic autograft.Result: There were 18 (18/62,29.1%) recurrent cases in conjunctival autograft,11 (11/56,19.6%) recurrent cases in AMT,and 3 (3/68,4.4%)recurrent cases in conjunctival,limbus corneal selerotic autograft.Conclusion:Conjunctival plus limbus corneal plus selertotic autograft may be more effect for pterygium with its low recurrent rate.更多还原