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目的 :探讨羊膜移植 (AMT)联合带结膜瓣的自体角膜缘移植及术中应用丝裂霉素C(MMC)治疗多次复发性翼状胬肉的疗效。方法 :选择多次复发性翼状胬肉 2 0例 ,进行复发翼状胬肉局部切除 ,放置丝裂霉素C后取患眼或对侧健眼带结膜瓣的自体角膜缘进行移植 ,其余缺损部分应用羊膜进行修补。结果 :其中 1 9例翼状胬肉未见复发 ,2 0例羊膜无排斥反应发生 ,睑球粘连患者恢复眼球运动功能 ,复视消失 ,部分患者视力提高。结论 :羊膜移植联合带结膜瓣的自体角膜缘移植及术中应用丝裂霉素C治疗多次复发性翼状胬肉效果良好
Objective: To investigate the efficacy of amniotic membrane transplantation (AMT) combined with conjunctival flap autograft limbal transplantation and intraoperative use of mitomycin C (MMC) in the treatment of multiple recurrent pterygium. Methods: Twenty cases of recurrent pterygium were selected for local excision of pterygium recurrence, and the limbal corneal limbus of conjunctival flap with or without contralateral eye was treated with mitomycin C. The remaining defect Amniotic membrane repair. Results: Among them, no recurrence was found in 19 cases of pterygium, 20 cases of amniotic non-rejection occurred. Patients with symblepharon restored eye movement and disappeared in diplopia, and some patients showed increased vision. CONCLUSIONS: Amniotic membrane transplantation with conjunctival flap autograft limbal transplantation and intraoperative mitomycin C treatment of multiple recurrent pterygium with good results