自体角膜缘球结膜移植治疗翼状胬肉疗效观察

Observation of autologous limbal conjunctival transplantation for treatment of pterygium

目的观察自体角膜缘球结膜移植治疗翼状胬肉的治疗效果。方法采用自体角膜缘球结膜移植治疗翼状胬肉147例162只眼,观察治疗效果。结果术后6个月时,治愈149只眼(92.0%),有复发倾向者8只眼(4.9%),真性复发者5只眼(3.1%)。除真性复发患者中有1只眼出现植片脱落外,其余患者术后植片均生长良好。结论自体角膜缘球结膜移植治疗翼状胬肉是一种安全有效的手术方法,取材简单,易于掌握,术后复发率低,适于临床推广。

OBJECTIVE To observe the treatment effects of autologous limbal conjunctival transplantation for treatment of pterygium.METHODS Used autogenous corneal edge conjunctival transplantation in the treatment of pterygium 147 cases of 162 eyes.Observed the effect of treatment.RESULTS Six months after transplantation,149 eyes（92.0%） cured,8 eyes（4.9%） with a tendency of recurrence,5 eyes（3.1%） with real recurrence.Except the only 1 eye with real recurrence appeared graft off,the rest patients＇ postoperative grafts grew well.CONCLUSIONS Autologous limbal conjunctival transplantation was a safe and effective surgical method for treatment of pterygium.The material drawing was simple,the surgery was easy to grasp,and the recurrence rate was low.It is favorable to clinical practice.