两种术式治疗原发性翼状胬肉的疗效比较

Comparison of effect between two methods in curing primary pterygium

目的:比较显微镜下胬肉转位术与单纯胬肉切除联合自体角膜缘干细胞移植术治疗原发性翼状胬肉的临床疗效。方法:将51例61眼患者随机分为两组,转位术组和角膜缘干细胞移植术组,术后随访1～2a。结果:转位组1眼复发,复发率为3%,角膜缘干细胞组1眼复发,复发率为3%,两组差异无统计学意义。结论:胬肉转移术治疗原发性翼状胬肉角膜创面修复快,复发率低,是一种值得重新评价的手术方法,值得推广应用。

AIM：To compare the effect between pterygium transposition and simple pterygium excision with limbal stem cell transplantation under topical anesthesia.METHODS：Fifty-one patients 61 eyes were randomized into two groups：transposition group and limbal stem cell transplantation group.Postoperative follow-up ranged from 1 to 2 years.RESULTS：One eye recurred in transplantation group. One eye recurred in limbal stem cell transplantation group. The recurred rate was 3% and 3% respectively. There was no significant difference between the two groups.CONCLUSION：Pterygium transposition is characterized by rapid corneal wound healing with low recurrence rate. It＇s a method worth popularizing.