目的 :研究的目的是胬肉切除后羊膜移植是否能替代结膜自体移植。方法 :我们对 13例 (13眼 )原发性胬肉和 1眼复发性胬肉施行胬肉切除及结膜自体移植术。另外 1眼原发性胬肉和 5例 (5眼 )复发性胬肉施行胬肉切除及羊膜移植术。所有患者术后随访 12～ 18个月 ,平均 14个月。结果 :结膜自体移植组 14眼手术成功 ,随访期间无 1例复发。羊膜移植组 2眼复发 ,1眼羊膜溶解。结论 :羊膜移植可用于胬肉切除术 ,但有减低复发率方面 ,羊膜移植不如结膜自体移植 Aims: The purpose of the study was whether amniotic membrane transplantation replaces conjunctival autografting after pterygium excision. METHODS: We performed pterygium excision and conjunctival autografting in 13 patients (13 eyes) with primary pterygium and one with recurrent pterygium. In addition, 1 case of primary pterygium and 5 cases of recurrent pterygium (5 eyes) underwent pterygium excision and amniotic membrane transplantation. All patients were followed up for 12 to 18 months, an average of 14 months. Results: In the conjunctival autograft group, 14 eyes were successfully operated and no recurrence occurred during the follow-up period. Amniotic membrane transplantation group 2 eyes recurrence, 1 amniotic membrane lysis. Conclusion: Amniotic membrane transplantation can be used for pterygium resection, but to reduce the recurrence rate, amniotic membrane transplantation as conjunctival autograft