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目的:观察胬肉切除联合角膜缘干细胞移植术治疗翼状胬肉的疗效,探讨降低翼状胬肉术后复发率的方法。方法:射阳县新坍中心卫生院2007年2月—2009年2月住院患者,原发性翼状胬肉共30例33眼,均行胬肉切除联合角膜缘干细胞移植术。术后观察角膜上皮恢复情况、结膜伤口愈合情况和胬肉复发情况等。结果:本组病例术后随访6个月~36个月,绝大多数患者角膜上皮和结膜伤口愈合良好,有3例患者术后复发。结论:胬肉切除联合角膜缘干细胞移植术是一种治疗翼状胬肉较好的方法,术后角膜上皮恢复时间较短,复发率较低,可以广泛开展。
OBJECTIVE: To observe the curative effect of pterygium excision combined with limbal stem cell transplantation in the treatment of pterygium and to explore the method of reducing the recurrence rate of pterygium surgery. Methods: A total of 33 patients with primary pterygium and 30 patients with pterygium were enrolled from February 2007 to February 2009 in Xingye Collapse Center Hospital of Sheyang County. All patients underwent resection combined with limbal stem cell transplantation. Postoperative observation of corneal epithelial recovery, conjunctival wound healing and recurrence of pterygium. Results: The patients in this group were followed up for 6 months to 36 months. The corneal epithelium and conjunctival wound healed well in most patients. Three patients relapsed after operation. CONCLUSION: Pterygium excision combined with limbal stem cell transplantation is a better method for the treatment of pterygium. Corneal epithelial recovery time is shorter and relapse rate is lower, which can be widely used.