翼状胬肉切除联合球结膜下生物羊膜移植的初步研究

目的:探讨翼状胬肉切除联合球结膜下生物羊膜移植的临床效果和安全性。方法:52例52眼初发性翼状胬肉,在手术显微镜下进行手术,保留翼状胬肉表面的球结膜。在自然解剖状态下彻底分离切除球结膜下的翼状胬肉组织,同时进行结膜下生物羊膜移植。术后随访6～15(平均10.24±2.45)mo。结果:48例48眼治愈,4例4眼复发。复发率7.69%;术中术后未见并发症。结论:手术显微镜下行翼状胬肉切除联合球结膜下生物羊膜移植具有手术损伤小,最大限度保留了正常眼表面的解剖结构,术后复发率低,是治疗初发性翼状胬肉的一种新的有效方法。

Clinical study of the excision of pterygium combined with the subconjunctival biological amniotic membrane transplantation on pterygium treatment

AIM:To evaluate the efficacy and security of the method of subconjunctival biological amniotic membrane transplantation in treatment of pterygium·METHODS:Fifty-two cases(52 eyes) of primary pterygium were performed by operating microscope.The conjunctiva on the surface of pterygium was remained .The pterygium was separated thoroughly and excised and subconjunctival biological amniotic membrane transplan-tation was performed at the same time.All the cases were followed up for 6 to15 months-average 10.24±2.45 months. ·RESULTS:Fifty-two cases(52 eyes) were cured.Recurrence happened in 4 eyes.The recurrent rate was 7.69%.There was no complication during the operation and postoperation.·CONCLUSION:Excision of pterygium combined with the subconjunctival amniotic membrane transplantation is a new effective method,which can not only remain the normal anatomic structure of the ocular surface at most,but also has lower recurrent rate and less complications.