角膜缘干细胞移植治疗复发性胬肉

目的:评价角膜缘干细胞移植治疗复发性翼状胬肉。方法:复发性胬肉96例96眼随机分为A、B两组,A组50眼行胬肉切除联合角膜缘干细胞移植,B组46眼行单纯胬肉切除术,根据Prabhasawat提出的术后分级方法,进行裂隙灯随访评定,96眼随访时间2～4年,平均(28±3.2)个月。结果:A组46眼取得根治性治愈(占92.00%),复发4眼(占8.00%)。B组31只眼取得根治性治愈(占67.39%),15眼复发(占32.61%)。经统计学处理差异有显著性。结论:角膜缘干细胞移植术可较好地防止复发。

Treatment Recurrent Pterygium by Limbal Stem Cell Transplantation

Objective：To compare the effect of only the procedure of excision and combining excision and limbal stem cell transplantation.Methods：96 eyes of 96 patients with recurrent pterygium were randomly divided into A group（50 eyes）,combining excision and limbal stem cell transplatation performed ,and B group（46 eyes）, only the procedure of excision performed. The slip lamp was used to evaluate the results based on prabharawats method .Follow up ranged 2 to 4 years, averagely（28± 3.2）months.Results：46 eyes （92.00%） in A group achieved the radical case and the rest 4 eyes （8.00%） were recurrent .3l eyes （67.39%）in B group achieved the radical case and the rest 15 eyes （32.61%）were recurrent .the difference between two grolips was significant.Conclusion：The surgical procedure for pterygium without recurrence can be achieved by combining the excision and limbal stem cell transplantation.