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目的探讨显微翼状胬肉逆向切除联合自体角膜缘干细胞移植治疗翼状胬肉的临床疗效。方法67例(82眼)翼状胬肉逆向切除后,将术眼颞上方带有角膜缘干细胞的结膜瓣移植到巩膜暴露区。随访观察6-24个月。结果82眼中治愈76眼,占92.68%,复发6眼(包括复发性胬肉3例),占7.32%。结论翼状胬肉逆向切除有利于病变组织干净切除,角膜缘干细胞移植重建角膜缘,角膜上皮修复快,降低了复发率,操作简单,费用低,是基层医院治疗翼状胬肉较好的手术方法。
Objective To investigate the clinical effect of micro-pterygium reverse resection combined with limbal stem cell autografting in the treatment of pterygium. Methods 67 cases (82 eyes) were retrogradely resected by pterygium. The conjunctival flap with limbal stem cells above the temporal eye was transplanted to the scleral exposed area. Follow-up observation of 6-24 months. Results In 82 eyes, 76 eyes were cured, accounting for 92.68%, and 6 eyes were recurrence (including 3 cases of recurrent pterygium), accounting for 7.32%. Conclusion Reverse resection of pterygium is conducive to the removal of diseased tissue, limbal stem cell transplantation to reconstruct the limbus, corneal epithelium repair fast, reduce the recurrence rate, simple operation, low cost, is the primary hospital for the treatment of pterygium surgery is a better method.