逆行胬肉切除联合结膜瓣翻转、桥状结膜瓣移植术治疗翼状胬肉疗效观察

目的观察逆行胬肉切除联合结膜瓣翻转、桥状结膜瓣移植术治疗翼状胬肉的疗效，探讨降低翼状胬肉复发率的方法。方法原发性翼状胬内60眼，随机分为A、B两组。A组行逆行胬肉切除联合结膜瓣翻转、桥状结膜瓣移植术（30眼）。B组行单纯胬肉切除术（30眼），术后随访6～12月。术后观察角膜上皮修复时间及复发情况。结果采用逆行胬肉切除联合结膜瓣翻转、桥状结膜瓣移植术者，2眼复发；采用单纯胬肉切除术者，8眼复发。两组统计学比较，P〈0．05，差异有显著意义。两组术后角膜上皮修复时间对比，P〉0．05，无统计学意义。结论逆行胬肉切除联合结膜瓣翻转、桥状结膜瓣移植术能有效治疗、预防翼状胬肉的复发。

Investigation of effect of retrorse excision of pterygium with fold conjunctival flap and bridge-like conjunctival flap implantation on pterygium

Objective To investigate the therapeutic effect of retrorse excision of pterygium with fold conjunctival flap and bridge-like conjunctival flap implantation for treatment of pterygium, to approach the method to reduce postoperative recurrence rate. Methods 60 eyes of pterygium were divided randomly into two groups: retrorse excision of pterygium with fold conjunctival flap and bridge-like conjunctival flap implantation (A group, 30eyes),and simple pterygium excision (B group, 30eyes). All the patients were followed up for 6~12 months. After surgery, we observed the difference of the postoperative healing time of corneal epithelium and the pterygium recurrence rate. Results 2 of 30 eyes(6.67%) in A group and 8 of 30 eyes (26.67%)in B group were recurred, the difference was very significant(P<0.05). The contrast of the postoperative healing time of corneal epithelium between group A and B was no significance, P>0.05. Conclusions Retrorse excision of pterygium with fold conjunctival flap and bridge-like conjunctival flap implantation can prevent the recurrence of pterygium. It's a reasonable therapeutic method for the treatment and recurrence of pterygium.