角膜缘干细胞移植与传统术式治疗翼状胬肉术后复发情况比较

Postoperative recurrence rates between pterygium excision with free conjunctival autograft and traditional operation treatment

目的比较角膜干细胞移植治疗翼状胬肉与传统手术方式术后的复发情况。方法对我院2006年9月至2009年11月翼状胬肉切除结膜瓣移植术(39眼)、翼状胬肉切除结膜瓣带蒂转瓣术(32眼)及传统切除手术(18眼)治疗的翼状胬肉患者术后1月、3月、1年的复发情况进行比较分析。结果术后1月、3月、1年随访,三种手术方式复发数比较差异均有统计学意义(P<0.05),结膜瓣移植术与结膜瓣带蒂转瓣术比较差异无统计学意义(P>0.05),结膜瓣移植术与单纯切除术比较差异有统计学意义(P<0.05)。结论角膜缘干细胞移植治疗翼状胬肉与传统术式相比明显降低了术后复发。

Objective To compare the recurrence rates between primary pterygium excision with free conjunctival autograft and traditional operation. Methods The recurrence rates of pterygium excision with conjunctival flap transplantation （ 39 eyes ）, pte- rygium excision with eonjunctival flap pedicled flap transplantation （32 eyes） and traditional surgery （18 eyes ） during the period of Sept. 2006 to Nov. 2009 were compared in one month ,3 months and one year after surgery. Results The recurrence rates of the three surgical types were significantly different （ P 〈0.05 ）. There were no difference in recurrence rates between the conjunetival flap trans- plantation surgeries while there were significant difference between the conjunctival flap transplantation surgeries and the traditional sur- gery. Conclusion The pterygium excision with free eonjunctival autograft can significantly reduce the postoperative recurrence rate.