新鲜羊膜移植治疗翼状胬肉的临床观察

The observation of fresh amnion transplantation in treating pterygium

目的:探讨羊膜移植在翼状胬肉治疗中的应用价值。方法:翼状胬肉患者30例(45眼),其中术后睑球粘连2例(2眼),分别进行新鲜羊膜移植术。术后对患眼进行裂隙灯检查角膜上皮修复情况,羊膜成活情况及新生血管生长情况,随访6～12个月。结果:45眼中未发生羊膜移植后的急性排斥反应和感染现象;其中睑球粘连2例(2眼),移植后眼球恢复运动且视力有不同程度的提高;30例(45眼)翼状胬肉有2眼复发,复发率约为4.44%。结论:羊膜移植治疗翼状胬肉能有效降低复发率,安全有效。

Objective： To explore the feasibility and effect of treating with fresh amnion transplantation. Methods ： 30 cases （45 eyes）of pterygium, including 2cases （2eyes） of extensive symblepharon, Corneal epithelial rehabilitation, amnion and neovascular growth were observed under slit lamp during the follow up of 6-12 months. Results ：No acute rejection or infection occurred in 45 eyes. Ocular movements were regained in the 2 cases of total symblepharon, and their visual acuities were improved. Among the 30 cases of pterygium, recurrence appeared in 2 cases, with the lowest recurrent rate compared with traditional methods. Conclusion ：Using fresh amnion in treating pterygium can lower the recurrent .rate.inhibit inflection and reduce neovascularization and complications.