两种不同术式治疗复发性翼状胬肉的疗效观察

目的探讨翼状胬肉切除联合角膜缘干细胞移植术治疗复发性翼状胬肉的疗效及应用价值。方法选取复发性翼状胬肉患者116例132眼,随机分为两组,翼状胬肉切除联合角膜缘干细胞移植术组(A组,59例67眼);单纯胬肉切除加自体结膜移植术组(B组,57例65眼),比较两组治疗效果。结果翼状胬肉切除联合角膜缘干细胞移植术组(A组)治愈率高于单纯胬肉切除加自体结膜移植术组(B组),两组比较差异有统计学意义(p<0.05)。结论翼状胬肉切除联合角膜缘干细胞移植术治疗复发性翼状胬肉疗效确切,值得临床推广应用。

THE CURATIVE EFFECT OF TWO OPERATION MODELS ON RECURRENT PTERYGIUM

Objective To investigate the effect and value of pterygium excision combined with limbal stem cell autografting in recrudescent pterygium treatment. Methods 116 patients with pterygium in 132 eyes were recrui- ted, and were randomized into pterygium excision combined with limbal stem cell autografting group （group A, 59 ca- ses 67eyes） and simply pterygium excision plus conjunctival flap transplantation group （group B, 57 cases, 65 eyes） , compare the curative effect of two groups. Results Cure rate of pterygium excision combined with limbal stem cell autografting group（ group A） was significantly higher than that of conjunctival flap transplantation group （group B）. There was a statistical significant difference between two groups （p 〈 0. 05）. Conclusion Pterygium excision combined with limbal stem cell autografting in pterygium treatment shows a more reliable effect and could be consid- ered applied widely in future treatment.