目的:分析比较3种不同手术方式治疗翼状胬肉后1a内复发情况。方法:对我院自2008年来对翼状胬肉的3种不同手术治疗方式做统计分析,分别比较其复发率,并采用卡方检验比较复发率有无统计学差异。结果:三种不同手术方式治疗翼状胬肉,其复发率有明显差异,单纯翼状胬肉切除术术后复发率高,翼状胬肉切除+自体角膜缘干细胞移植术及翼状胬肉切除+生物羊膜移植术术后复发率低,且两种术式术后复发率无统计学差异。结论:翼状胬肉切除+自体角膜缘干细胞移植术及翼状胬肉切除+生物羊膜移植术是治疗翼状胬肉的理想术式,术后复发率低,特别是翼状胬肉切除+自体角膜缘干细胞移植术更值得临床推广。

AIM:To compare the recurrent rate in 1 year of three different surgical treatments for pterygium.METHODS:The patients with pterygium underwent three different surgical treatments after 2008 were analyzed,the recurrent rates were compared,the Chi-square test was used in this study.RESULTS:There was obvious difference among three different surgical treatments.The recurrence rate was high in pure pterygial resection.but in either pterygium excision with autologous corneal stem cell transplantation or pterygium excision with biological amniotic membrane transplantation surgery,the recurrent rate was low,and these two operations were not statistically significant.CONCLUSION:Pterygium excision with autologous corneal stem cell transplantation or pterygium excision with biological treatment of amniotic membrane trans-plantation is an ideal surgery,the recurrent rate is low especially in pterygium excision with autologous corneal stem cell transplantation.

R779.6