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目的:观察翼状胬肉不同术式的临床效果。方法:95例(98眼)翼状胬肉随机分为三组,不同方法施行手术:A组行常规翼状胬肉切除联合丝裂霉素应用。B组施行翼状胬肉切除联合角膜缘干细胞移植术。C组常规翼状胬肉切除术联合羊膜移植术。结果:术后A组31例(32眼)单纯翼状胬肉切除联合丝裂霉素应用复发5例,B组31例(33眼)角膜缘干细胞移植组无1例复发。C组33例(33眼)羊膜移植组复发6例。结论:手术显微镜下翼状胬肉切除联合角膜缘干细胞移植术是目前治疗翼状胬肉最理想的手术方法,术后恢复快,复发率低,疗效好。
Objective: To observe the clinical effect of different surgical methods of pterygium. Methods: Ninety five eyes (98 eyes) with pterygium were randomly divided into three groups. The operation was performed by different methods. Group A received conventional pterygium excision combined with mitomycin. Group B with pterygium excision combined with limbal stem cell transplantation. Group C conventional pterygium excision combined with amniotic membrane transplantation. Results: There were 5 patients with simple pterygium resection and mitomycin C in 31 cases (32 eyes) in group A, and no recurrence in 1 case (33 eyes) with limbal stem cell transplantation in group B after operation. C group 33 cases (33 eyes) amniotic membrane transplantation group recurrence in 6 cases. Conclusion: Under the operative microscope, pterygium resection combined with limbal stem cell transplantation is the best surgical treatment of pterygium, postoperative recovery fast, low recurrence rate, good effect.