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讨论翼状胬肉的三种手术治疗和疗效观察。方法:1125例(1145只眼)翼状胬肉的病例按手术方式分为3组:组I25例(28只眼)行翼状胬肉切除联合结膜下转位术。组I 500例(508只眼)翼状胬肉切除联合角膜缘干细胞移植术。组I I510例(519只眼)行翼状胬肉切除联合角膜缘干细胞和自体球结膜移植。分析治疗后复发率及眼部并发症。结果:治疗术后6个月随诊,组I28只眼未发现复发及并发症,组I I48只眼出现翼状胬肉复发(9.4%)行2次手术,组I I I31只眼出现翼状胬肉复发(5.97%)行2次手术。治疗后12月随诊,组I28只眼未发现复发及并发症,组I 508只眼(除8只眼出现轻度结膜增生)和组I I519(除5只眼出现轻度结膜增生)移植片和球结膜紧密生长良好,结膜平整无充血,角膜创面上皮光滑。结论:翼状胬肉切除联合角膜缘干细胞和自体球结膜移植术,术后复发率低值得推广。“,”Objective :To investigate the clinical effect of threesurgical treatments for pterygium.Methods 1125 patients (1145 eyes) with pterygium were treated in our department and they were divided into three groups according to the surgical methods. The group I of 25 patients (28 eyes) underwent pterygium excision combined with subconjunctival dislocation. The group I of 500 patients (508 eyes) underwent pterygium excision combined with corneal limbal stem celltransplantation. The group II of 510 patients (519 eyes) underwent pterygium excision combined with autografting of corneal limbal stem cell and conjunctiva. We compared three groups recurrence rate and complication of eyes. Results The three groups patients were fol owed up for 6 months. The group I of 28 eyes had not relapse and complication of eyes. The recurrent rate was 9.4% (48/508) and underwent second operation in the group I . The recurrent rate was 5.97% (31/519) and underwent second operation in the group I I. Then all of patients were followed up for 12 months. The group I (28 eyes) still did not have relapse and complication of eyes. Close adhesion of the pedicle graft to the bulbar conjunctiva was observed and grew well , conjunctiva was flat without congestion, and corneal epithelial wound was smooth in the group I (508 eyes) and II (519 eyes).Conclusions : underwent pterygium excision combined with autografting of corneal limbal stem cell and conjunctiva. postoperatiov recurrence rate is low is worth promoting.