目的：探究翼状胬肉切除联合低温等离子射频消融术及自体结膜瓣移植对翼状胬肉患者泪膜功能、视功能及复发率的影响。

方法：回顾性研究，选择2021年3月至2024年1月在江阴市中医院进行手术的翼状胬肉患者，根据患者的手术方法分为切除组50例50眼和联合组51例51眼。切除组进行翼状胬肉切除，联合组在切除组基础上给予低温等离子射频消融术及自体结膜瓣移植。比较两组患者治疗前后的泪膜功能\〖泪液分泌试验(SⅠt)、泪膜破裂时间(BUT)\〗、视力质量、疗效、1 a内并发症发生率和复发率。

结果：两组患者一般资料具有可比性(P>0.05)。治疗后联合组SⅠt、BUT大于切除组(均P<0.001)，角膜散光度、裸眼视力小于切除组(均P<0.001)。联合组治疗起效率(92%)大于切除组(76%)，1 a内联合组复发率(8% vs 22%)与并发症发生率(6% vs 24%)均小于切除组(均P<0.05)。

结论：翼状胬肉切除联合低温等离子射频消融术及自体结膜瓣移植治疗翼状胬肉患者，有利于提高疗效，改善患者视力，增强泪膜功能，降低复发率。

METHODS: A retrospective study was conducted on patients with pterygium who underwent surgery at Jiangyin Hospital of Traditional Chinese Medicine from March 2021 to January 2024. The patients were divided into two groups based on the surgical methods: the excision group with 50 cases(50 eyes)and the combined group with 51 cases(51 eyes). The excision group underwent pterygium excision, while the combined group received low-temperature plasma radiofrequency ablation and autologous conjunctival flap transplantation in addition to the excision. The tear film function \〖Schirmer's test(SⅠt), tear film break-up time(BUT)\〗, visual quality, therapeutic effect, incidence of complications within 1 a, and recurrence rate were compared between the two groups before and after treatment.

RESULTS: The general data of the two groups were comparable(P>0.05). After treatment, the SⅠt and BUT in the combined group were greater than those in the excision group(both P<0.001), while the corneal astigmatism and uncorrected visual acuity were lower than those in the excision group(both P<0.001). The initial treatment efficiency in the combined group(92%)was higher than that in the excision group(76%). Within 1 a, the recurrence rate(8% vs 22%)and complication rate(6% vs 24%)in the combined group were both lower than those in the excision group(both P< 0.05).

CONCLUSION: The union of pterygium excision, low-temperature plasma radiofrequency ablation, and autologous conjunctival flap transplantation is beneficial for improving the efficacy, visual acuity, tear film function, and reducing recurrence rate in patients with pterygium.