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目的:探讨原发性或者复发性翼状胬肉的病因治疗方法及临床疗效。方法:对40例原发性和17例复发性翼状胬肉患者,在切除翼状胬肉的同时,将相邻的带蒂结膜上皮组织瓣,移植到业已切除的翼状胬肉部位,来治疗防止翼状胬肉的复发。结果:57例患者通过半年到6年时间的观察,术后3天移植的结膜瓣生长良好,中度充血水肿,角膜透明。1个月到3个月时移植的结膜瓣和正常的结膜无明显的区别。1例原发性翼状胬肉半年复查时发现,复发胬肉便及角膜缘1mm,观察至今无发展趋势.1例复发性翼状胬肉1年复查时发现,复发胬肉侵及角膜缘2mm,再次手术治愈。结论 带蒂结膜瓣移植法治疗翼状胬肉可以收到良好疗效
Objective: To investigate the etiological treatment and clinical efficacy of primary or recurrent pterygium. Methods: 40 cases of primary and 17 cases of recurrent pterygium patients, in the removal of pterygium, while the adjacent pedicle conjunctiva epithelial flap was transplanted to the excised pterygium, to prevent the Recurrence of pterygium. Results: The observation of sixty-six patients in sixty-seven patients showed good growth of conjunctival flap 3 days after transplantation, moderate congestion and edema, and corneal transparency. Transplantation of the conjunctival flap from 1 month to 3 months showed no significant difference from normal conjunctiva. One case of primary pterygium during the six-month review found that recurrent pterygium and the corneal margin 1mm, the observed no development trend so far .1 cases of recurrent pterygium 1 year review found that recurrent pterygium invasion and limbal margin 2mm, Cure again surgery. Conclusion pedicle conjunctival flap transplantation for the treatment of pterygium can receive a good effect