目的:对翼状胬肉手术常用的两种术式术后疗效进行比较,探讨可否免除结膜缝线。方法:将65例76眼患者随机分为二组,分别采用无缝线法联合丝裂霉素C(MMC组,36眼)和带角膜缘干细胞的自体结膜移植术(ALCT组,40眼),术后随访1a,比较创面修复时间及复发率。结果:MMC组与ALCT组的术后创面修复时间及复发率比较无明显统计学差异(P>0.05)。结论:无缝线法较缝线法手术简洁,创伤小,速度快,适合大批量的复明手术,同时无需拆线,适合偏远山区,无法复诊拆线的老年、贫困、以及行动不便的患者。

AIM:To compare the effects of two kinds of surgery in pterygium in order to investigate the necessity of conjunctival suture.METHODS:Totally 65 cases (76 eyes) were randomly divided into two groups,one group was treated by mitomycin-C and sutureless method (group MMC,36 eyes),the other group was treated by autologous corneal limbal stem cell transplantation with conjunctival flap(group ALCT,40 eyes).After removal of the pterygium,the time of the surface’s recovery and the relapse rate were compared.RESULTS:There were no statistical difference in the time of the surface’s recovery and relapse rate between the two groups (P>0.05).CONCLUSION:It is concise and has less trauma in sutureless surgery,and can avoid iatrogenic perforation of the sclera,more suitable to those elders and those who have difficulties to walk in the sight rehabilitating engineering.

R779.6