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目的探讨不同手术方式治疗翼状胬肉的效果。方法 140例154眼,随机分成A、B、C三组,A组42例45眼施行单纯胬肉切除术;B组48例53眼施行胬肉切除联合带蒂结膜瓣移植术,C组50例56眼施行胬肉切除联合生物羊膜移植术;随诊2个月~1 a,观察术后胬肉复发的情况。结果 A组复发率为33.3%;B组复发率9.4%;C组复发率10.7%。A组较B组、C组复发率高,有统计学意义(P<0.05);B组与C组的复发率无统计学意义(P>0.05)。结论三种手术方式均不能完全阻止胬肉复发,胬肉切除联合带蒂结膜瓣移植术和生物羊膜移植术疗效优于单纯胬肉切除术。
Objective To investigate the effect of different surgical methods in the treatment of pterygium. Methods A total of 140 eyes (140 eyes) were randomly divided into three groups (A, B and C). Group A (42 eyes) and 45 eyes (45 eyes) underwent simple polypectomy. In group B, 48 cases (53 eyes) underwent pterygium excision combined with pedicle conjunctival flap transplantation 56 cases of eye implementation of pterygium resection combined with biological amniotic membrane transplantation; followed up for 2 months to 1 a, observe the recurrence of pterygium. Results The recurrence rate was 33.3% in group A, 9.4% in group B, and 10.7% in group C. The recurrence rate was significantly higher in group A than in group B and C (P <0.05). The recurrence rates in group B and C were not statistically significant (P> 0.05). Conclusion All the three surgical methods can not completely prevent the recurrence of pterygium. The pterygium excision combined with pedicle conjunctival flap transplantation and biological amniotic membrane transplantation is superior to simple pterygium excision.