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[摘要]
目的：探讨翼状胬肉切除联合带自体角膜缘干细胞结膜瓣移植术辅以封闭球结膜与Tenon囊间隙的手术方式治疗翼状胬肉的临床疗效。
方法：对110例128眼实施翼状胬肉切除联合带自体角膜缘干细胞结膜瓣移植术，辅以术中封闭球结膜与Tenon囊之间间隙，观察术后角膜上皮修复及翼状胬肉复发等情况。
结果：随访观察术后12，24mo胬肉的复发率分别为2.3%，3.9%，角膜上皮恢复时间为2～3d，无其他并发症发生。
结论：翼状胬肉切除联合带自体角膜缘干细胞结膜瓣移植术辅以封闭球结膜与Tenon囊间隙治疗翼状胬肉疗效可靠，该手术取材方便、术后恢复快、炎症反应轻、复发率低、泪阜形态及位置恢复正常，是治疗翼状胬肉比较理想的术式。
[Key word]
[Abstract]
AIM:To explore the clinical effect of pterygium excision combined with autologous conjunctiva graft containing corneal limbal stem cells to seal the clearance between conjunctiva and Tenon capsule for the treatment of pterygium.
METHODS:Totally 128 eyes of 110 cases underwent pterygium excision with the operation mentioned above. The recovery of corneal epithelium and the recurrence of pterygium were observed after surgeries.
RESULTS:The cases were followed up for 12 or 24mo and the pterygium recurrence rate was 2.3% and 3.9% respectively. Corneal epithelium recovered within 2～3d. There were not any complications.
CONCLUSION:Pterygium excision combined with autologous conjunctiva graft containing corneal limbal stem cells to seal the clearance between conjunctiva and Tenon capsule has reliable curative effect and the autologous grafts can be easily obtained. This method can significantly reduce recurrence of pterygium and make the appearance and position of lacrimal caruncles normal. It can decrease postoperative inflammation and improve postoperative recovery. It is an ideal method for pterygium treatment.
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