带干细胞的结膜移植治疗翼状胬肉疗效分析

Analysis of the Treatment of Pterygium with Conjunctival Limbal Stem Cell Transplantation

目的探讨带角膜缘干细胞的结膜移植术治疗翼状胬肉的疗效,寻找一种能使翼状胬肉术后复发率明显降低的理想手术方法。方法本文对178例196眼翼状胬肉患者,均采取在手术显微镜下行翼状胬肉切除,联合带角膜缘干细胞的结膜移植术,来治疗翼状胬肉。结果对所有翼状胬肉手术后患者,均随访3～12个月,平均6个月。手术后角膜上皮3～7d均已修复。随访期内,发现有6只眼复发,本手术方法治疗翼状胬肉的术后复发率为3.06%。结论带角膜缘干细胞的结膜移植术治疗翼状胬肉,方法简便,效果确切,能够明显的降低翼状胬肉术后的复发率。

Objective To evaluate the efficacy of treatment of conjunctival pterygium with limbal stem cell transplantation, and find a way to reduce the recurrence after surgery. Methods 178 cases （196 eyes） with pterygium were performed the excision under the operating microscope and limbal conjunctival stem cell transplantation. Results All patients were followed up 3-12 months, an average of 6 months. All corneal epithelium were repaired 3-7 days after surgery. During the follow-up period, only six eyes had a relapse with a recurrence of 3.06%. Conclusion Treatment of pterygium with limbal conjunctival stem cell transplantation was a simple and effective way, it can significantly reduce the recurrence of pterygium.