自体结膜移植术治疗原发性翼状胬肉38例

目的探讨自体结膜移植术治疗原发性翼状胬肉的治疗效果,并观察其术后复发情况。方法 38例患者均行原发性翼状胬肉切除联合自体结膜移植术,并对术后患者的疗效和复发情况进行随访。结果 38例原发性翼状胬肉患者手术均获成功。术后随访期间共有2例(5.3%)复发,1例发生在术后第2个月,另外1例发生在术后第6个月。2例于术后第2周发生缝线肉芽肿,经拆除缝线和局部应用类固醇激素好转,所有患者术后无严重并发症。除复发病例外,在术后3个月复诊时局部充血状态均完全消失。结论自体结膜移植术治疗原发性翼状胬肉安全有效,可显著降低其术后复发。

Autoallergic transplantation of conjunctiva for treatment primary pterygium in 38 cases

Objective To explore the curative effect of autologous transplantation of conjunctiva for the treatment of primary pterygium, and observe the postoperative recurrence. Methods Thirty-eighty primary pterygium patients underwent primary ptelygium excision combined with autologous transplantation of conjunctiva, and the efficacy and recurrence condition postoperative were followed. Results The operation of all patients was successful. Two patients （ 5.3 % ） recurred in the followup period after operation, one patient occurred in the second month after operation, the other patient occurred in the sixth month after operation. Two patients occurred suture granuloma at the second week after operation, and the two patients were improved after dermal sutures out and given topical steroids. No severe complication occurred in all patients after operation. Besides the recurred patients, the local congestion in other patients disappeared completely at 3 months after operation. Conclusion Autologous transplantation of conjunctiva is a safe and effective method for the treatment of primary pterygium and it can reduce the incidence of recurrence rate after operation.