翼状胬肉切除并生物羊膜移植术治疗翼状胬肉的疗效

Pterygium Resection and Amniotic Membrane Transplantation for Pterygium

目的探讨翼状胬肉切除并生物羊膜移植术治疗翼状胬肉的临床疗效。方法将117例(155眼)翼状胬肉患者根据手术方式不同分为2组:治疗组72例(93眼)和对照组45例(62眼)。治疗组采用翼状胬肉切除并生物羊膜移植术,对照组采用传统的翼状胬肉切除术。结果 2组患者术后均随访1年,治疗组、对照组翼状胬肉复发分别为6眼(6.5%)、15眼(24.2%),2组翼状胬肉复发率比较差异有统计学意义(P<0.05)。结论采用翼状胬肉切除并生物羊膜移植术治疗翼状胬肉可以明显的降低术后复发率,并能改善创面愈合。

Objective To explore the curative effect of pterygium resection and amniotic membrane transplantation on pterygium.Methods One hundred and seventeen patients with pterygium（155 eyes） were divided into two groups according to operative methods.The traditional pterygium resection was performed in the control group（45 patients,62 eyes）,and pterygium resection with amniotic membrane transplantation was performed in the treatment group（72 patients,93 eyes）.Results After one year of follow-up,the treatment group had a lower recurrence rate of pterygium（6.5%,6 eyes） as compared with the control group（24.2%,15 eyes;P0.05）.Conclusion Pterygium resection with amniotic membrane transplantation can effectively reduce pterygium recurrence rate and accelerate wound healing in the treatment of pterygium.