目的:观察带蒂结膜瓣移植联合丝裂霉素C治疗翼状胬肉的临床效果,探寻减少复发的最佳术式。方法:对131例131眼行翼状胬肉切除术、联合丝裂霉素C湿贴、带蒂结膜瓣移植术,术后点重组牛碱性成纤维细胞生长因子及氧氟沙星滴眼液。结果:患者术后随访观察6mo～2a,131例131眼有4眼复发,复发率为3.1%。结论:带蒂结膜瓣移植联合应用丝裂霉素C湿贴治疗翼状胬肉,复发率较低,手术简单易行,费用低,不失为一种好办法,尤其针对基层医院比较适合。

AIM:To observe the therapeutic efficacy of pedicle conjunctival transplantation and mitomycin C (MMC) for pterygium,and explore the optimal surgery with minimum recu-rrence ratio. ·METHODS:Totally 131 cases 131 eyes underwent the excision of pterygium,pedicle conjunctival transplanta-tion and MMC,and recombination calf fibroblast growth factor and ofloxacin were applied. ·RESULTS:In the follow-up of 6 months to 2 years,4 eyes recurred in all 131 patients 131 eyes,and recurrence ratio was 3.1%. ·CONCLUSION:The pedicle conjunctival transplantation and MMC surgery have the lower recurrence ratio,the simpler operation protocol,and the cheaper cost,which is suitable for the primary hospital and is a suitable way for pterygium.

R779.6