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目的 评价自体角膜缘部上皮移植联合丝裂霉素C治疗原发与复发性翼状胬肉的疗效,寻找一种有效地预防胬肉复发的手术方法。方法 采用胬肉切除、应用浓度为0.1mg/ml、0.2mg/ml的丝裂霉素C贴敷,以及用带有角膜缘部上皮的自体结膜办移植的联合方式,治疗原发与复发性胬肉58例(66眼)。结果 随访5个月～2年,平均10个月。3眼术后复发,复发率为4.55％。术中及术后无严重并发症发生。结论自体角膜缘上皮移植,辅加药物丝裂霉素C治疗翼状胬肉是一种防止术后复发的有效方法。
Objective To evaluate the curative effect of autologous corneal limbal epithelial transplantation combined with mitomycin C in the treatment of primary and recurrent pterygium and to find a surgical method to effectively prevent the recurrence of pterygium. Methods The pterygium excision was performed. The combination of mitomycin C at a concentration of 0.1 mg / ml and 0.2 mg / ml, and autologous conjunctival transplantation with limbal epithelium were used to treat primary and recurrent Pterygium 58 cases (66 eyes). The results were followed up for 5 months to 2 years, an average of 10 months. 3 eyes had postoperative recurrence with a recurrence rate of 4.55%. No intraoperative and postoperative complications occurred. Conclusion Autologous corneal limbal epithelial transplantation, plus drug mitomycin C treatment of pterygium is an effective way to prevent postoperative recurrence.