翼状胬肉撕离联合角膜缘干细胞移植的研究

Pterygium excision by head tear combined with corneo-conjunctival autograft transplantation.

目的探讨翼状胬肉头部撕离联合角膜缘干细胞移植术治疗翼状胬肉的临床效果。方法撕离术组：53例（53眼）在手术显微镜下用有齿镊撕离胬肉头部。切除术组：32例（32眼）用单纯刀具切除头部。两组均联合角膜缘干细胞移植。术后随访观察6—24月。结果撕离术组与切除术组的角膜创面愈合平均时间分别为3天和5天，复发率分别为5．66％和25．00％。差异有统计学意义（x^2=0．920，P〈0.005）。结论胬肉头部撕离术联合角膜缘干细胞移植术角膜创面愈合时间短，胬肉复发率低。

Objective To investigate the effect of pterygium head excised by simple excision or tearing combined with corneo-conjunetival autograft transplantation. Methods 53 cases of pterygium were treated with tearing and 32 cases of pterygium eyes were treated with simple excision.A corneo-conjunctival autograft transplantation under surgery microscope were performed for all these patients as well .They were followed up for 6 - 24 months. Results The average cure time of cornea for tearing group was 3 days, while simple excision group was 5 days;The recurrent of tearing group was 5.66%, but the simple excision group was 25.00 （x^2 = 0.920, P 〈 0.05）. Conclusion The cure of pterygium eyes treated with tearing is more rapidly and has lower recurrent rate.