羊膜移植及单纯胬肉切除治疗复发性翼状胬肉的疗效比较

目的：比较新鲜羊膜移植与单纯胬肉切除治疗复发性翼状胬肉的疗效。方法：对复发性翼状胬肉71例（74只眼），随机分为A、B两组，A组38例，39只眼，行复发性翼状胬肉切除联合新鲜羊膜移植术。B组33例，35只眼，行单纯胬肉切除。手术后随访6-36个月。比较两组患者的症状、创伤愈合情况、胬肉复发情况。结果：A组39只眼中复发12只眼，复发率30．8％。B组35只眼中复发30例，复发率85．5％。结论：新鲜羊膜移植较单纯胬肉切除明显降低复发性翼状胬肉手术后复发率。

Clinical observations the transplantation ofanmion and the pure removal of ptarygiurrl to treat the recurrent pterygium

Objective ：The effect analyses by comparing and observing the transplantation of fresh amnion and the pure removal of pterygium to treat the recurrent pterygium.Method：71 cases ofrecurren Pterygium （74 eyes）is divides into2 groups （named A,B） randomly.Group A （with 38 cases,39 eyes）is operated by removing the recurrent pterygium and the transplantation of the fresh amnion.GroupB （with 33 cases.35 eyes）m only operated by removing the pteryginm.After operation,visits lasting 6-36 months are followed and comparations about the patients＇symptoms,the wound matches and the pterygium relapses among the 2 groups are carried out.Resuh In group A,12 eyes relapsed from the whole 39 eyes,and the rate of relapsing is 30.8%.In group B,30 eyes relapsed from the whole 35 eyes.with the rate of relapsing 85.5%.Conclusion ： Compared with the effect ofthe pure removal pterygium to treat recurrent pterygium, there exist lower rates of relapsing in corneal limbastemcellautografting and thetransplantation of fresh amnion.In addition, and it is the effective option in treating recurrent pterygium.