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目的探讨翼状胬肉逆向撕除术联合羊膜移植术治疗翼状胬肉的临床疗效。方法将翼状胬肉患者44例47眼分为两组。翼状胬肉逆向撕除术联合羊膜移植术组44例47眼,翼状胬肉颈部剪开球结膜,于球结膜与增生组织间,增生组织与巩膜间分离至泪阜,于根部剪除增生组织,把增生组织从角膜完整撕下,巩膜暴露区烧灼,取面积稍大的低温保存羊膜植于巩膜暴露区,边缘伸入球结膜缘下,8-0缝线间断缝合。结果随访半年至1年,复发3只眼,复发率分别为6.38%。羊膜移植片未发生排斥反应。结论逆向撕除联合羊膜移植治疗翼状胬具有取材方便、操作简单、安全有效等特点,能明显降低术后复发率。
Objective To investigate the clinical effect of pterygium reverse rip surgery combined with amniotic membrane transplantation in the treatment of pterygium. Methods Forty-seven patients with pterygium were divided into two groups. Forty-seven eyes (47 eyes) with pterygium reverse enucleation combined with amniotic membrane transplantation underwent excision of the conjunctiva in the neck of the pterygium. Between the conjunctival and proliferative tissues, , The hyperplasia tissue intact from the cornea, scleral exposure area cauterization, take a little larger area of the cryogenic preservation of amniotic membrane implantation in the scleral exposed area, the edge of the bulb into the conjunctiva margin, 8-0 suture intermittent suture. Results The patients were followed up for 6 months to 1 year and 3 eyes were recurred. The recurrence rates were 6.38%. Amnion graft rejection did not occur. Conclusion Reverse tearing and amniotic membrane transplantation for the treatment of pterygium with easy access, simple operation, safe and effective, can significantly reduce the recurrence rate.