翼状胬肉上结膜反向移植联合生物羊膜治疗复发性翼状胬肉

目的：探讨降低复发性翼状胬肉术后复发率的有效方法。

方法：将126例126眼随机分为两组，其中A组56例，采取翼状胬肉上结膜反向移植联合生物羊膜遮盖术； B组70例，采取生物羊膜移植术，术后随访6～24mo。

结果：A组术后5～7(平均5.62±1.38)d角膜上皮修复； B组角膜创面7～10(平均7.38±1.12)d愈合，两组比较有显著差异(t=4.307，P<0.05)。A组56例患者中有3例复发，复发率为5.4%； B组70例患者中有12例复发，复发率为17.1%。两者相比有显著差异(P<0.05)。

结论：翼状胬肉上结膜反向移植联合生物羊膜遮盖术能有效治疗复发性翼状胬肉。

Pterygium conjunctive reverse transplantation combined with amniotic membrane transplantation on recurrent pterygium

AIM:To discuss the effective method of decreasing the postoperative recurrence rate of recurrent pterygium.

METHODS:Totally 126 cases(126 eyes)with recurrent pterygium were randomly divided into A group(56 cases)and B group(70 cases). Group A was treated by pterygium conjunctive reverse transplantation combined with amniotic membrane transplantation, group B was treated by amniotic membrane transplantation. The followed-up time after surgery was 6-24mo.

RESULTS:In group A, postoperative 5-7d(average 5.62±1.38d), cornea epithelium was repaired. In group B, postoperative 7-10d(average 7.38±1.12d), the corneal wound was healed. There was statistical significant difference between two groups(t=4.307,P<0.05). Three cases recurrence were noted in A therapeutic group(56 cases), the recurrent rate was 5.4%; Twelve cases recurrence were noted in B compared group(70 cases), the recurrent rate was 17.1%. There was statistical significant difference between two groups(P<0.05).

CONCLUSION:It is suggested that pterygium conjunctive reverse transplantation combined with amniotic membrane transplantation is effective in the treatment of recurrent pterygium.