自体角膜缘干细胞移植术治疗翼状胬肉148例疗效观察

Treatment of Pterygum with Corneal Limbal stem Cell Autograft Transplantation in 148 Cases

目的:探讨翼状胬肉切除联合角膜缘干细胞移植术治疗翼状胬肉的临床效果。方法:切除翼状胬肉后取术眼上方角膜缘上皮带部分结膜上皮组织制成移植片,移植于切除缺损处,治疗原发性和复发性翼状胬肉148例,术后随访3个月～1年。结果:随访期内有2眼复发(1.30%),未发现眼球粘连等并发症。结论:翼状胬肉切除联合自体角膜缘移植有利于重建角膜缘功能,降低了复发率,是治疗翼状胬肉较好的手术方法。

Objective：To study the clinical effects ofpterygium resection and corneal limbal autograft in the treatment of petygium. Methods： 148 patients with primary or recurrent pterygium were excision of pterygium （154 eyes）, took the corneal limbus and part of conjunctival epithelium tissue and made them into transplantation chips. The follow up time ranged from 3 months to 1 year. Results：Two eyes were recurred（1.30%）,No complications were observed.Conclusion： Pterygium escision and corneal limbal autograft is a simple, safe and effective surgical method for the treatment ofpterygium.