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目的研究翼状胬肉切除联合绷带镜术后角膜上皮修复时间及复发率。方法选取2013年1月~2015年1月在九江市第一人民医院就诊的210例双眼翼状胬肉患者，其胬肉位于鼻侧，长入角膜3~5mm的初发胬肉。双眼行翼状胬肉切除联合羊膜移植术，术后随机选取1只眼为A组，另1只眼为B组。A组（210只眼）单纯手术；B组（210只眼），手术后佩戴角膜接触镜。观察双眼术后1、3、5、7、15d角膜上皮修复时间及眼痛并记录；OCT检查角膜上皮修复时间进行对比研究；疼痛值采用视觉模拟评分法(VAS)；评价角膜上皮愈合情况，最终愈合通过荧光素染色确认；术后1个月、3个月及6个月之后每6个月一复查，随访2年观察疗效及复发。结果 B组在术后1、3、5、7d的疼痛值平均值均低于A组；B组术后3、5、7d角膜修复均比A组快，具有统计学意义（<0.01）；术后随访，B组与A组复发率均低于胬肉单纯切成术；两组比较无统计学意义，佩戴绷带镜不提高复发率。结论翼状胬肉切除联合绷带镜术后角膜修复时间短，眼痛症状轻，术后复发率降低。,Objective To investigate the recurrence rate and ceal epithelial repair time after pterygium excision and ceal contact lens.Methods Choose 210 both eyes onset pterygium patients in First People’s Hospital of Jiujiang from January 2013~January 2015 , pterygium located in the nasal and grow into the cea 3~5mm.Pterygium excision and amniotic membrane transplantation operation were done in both eyes, randomly selected one eye as group A(210eyes),another eye whith Ceal bandage lens after operation as group B(210eyes).Watch and record ceal epithelial repair time and pain in both eyes ,1,3,5 and 7 days after operation.OCT check ceal epithelial repair time, Pain value adopt Visual analogue scale(VAS), ceal staining decide ceal epithelial was repaired or not. Referral at 1,3and 6 months after operation,then referral every 6 months till 2 years after operation to observe the effect and relapse.Results Pain value of group B is lower than group A 1,3,5,7days after operation.Ceal epithelial repair of group B is faster than group A,3,5,7days after operation, There was statistical significance ( <0.01);. Postoperative follow-up found the recurrence rate of group A and group B are lower than pterygium excision.There is no significiantly difference in two groups.That means ceal contact lens doesn’t increase the recurrence rate of pterygium. Conclusion The recurrence rate and pain value is low, ceal epithelial repair time is short after pterygium excision with amniotic membrane transplantation and ceal contact lens.