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目的研究探讨复发性翼状胬肉的再手术的几种手术治疗。方法选择2004年1月￣2005年1月收治的90例100只眼的复发性翼状胬肉,采用:1.翼状胬肉切除联合角膜缘干细胞自体结膜瓣移植;2.翼状胬肉切除联合应用含0.02%MMC棉片在裸露的巩膜上放置2分钟后冲洗后羊膜移植;3.翼状胬肉切除联合应用含0.02%MMC棉片在裸露的巩膜上放置2分钟冲洗后羊膜移植联合角膜缘干细胞自体结膜瓣移植。随访12￣24个月。结果90例100只眼的复发性翼状胬肉术后无再复发,术后视力均有不同程度的提高。结论翼状胬肉切除联合角膜缘干细胞自体结膜瓣移植、翼状胬肉切除联合应用含0.02%MMC棉片在裸露的巩膜上放置2分钟冲洗后羊膜移植、翼状胬肉切除联合应用0.02%MMC棉片在裸露的巩膜上放置2分钟冲洗后羊膜移植联合角膜缘干细胞自体结膜瓣移植是治疗复发性翼状胬肉的有效手术方法。
Objective To study several surgical procedures for the reoperation of recurrent pterygium. METHODS: Ninety eyes of 100 patients with recurrent pterygium treated from January 2004 to January 2005 were enrolled in this study: 1. Pterygium excision combined with autologous conjunctival flap transplantation of limbal stem cells; 2. Pterygium excision combined with Amniotic membrane transplantation with 0.02% MMC cotton sheet placed on bare sclera for 2 minutes followed by rinsing; 3. Pterygium excision combined with 0.02% MMC cotton sheet placed on bare sclera for 2 minutes after rinse with amniotic membrane transplantation combined with limbal stem cells Autologous conjunctival flap transplantation. Follow-up 12 ~ 24 months. Results 90 cases of 100 eyes of recurrent pterygium no recurrence after surgery, postoperative visual acuity improved to varying degrees. Conclusions Pterygium resection combined with limbal stem cell autologous transplantation of conjunctival flap, pterygium excision combined with 0.02% MMC cotton on the sclera for 2 minutes after lavage amniotic membrane transplantation, pterygium excision combined with 0.02% MMC cotton Amniotic membrane transplantation with corneal limbal stem cell autologous conjunctival flap after 2 minutes of rinsing on bare sclera is an effective surgical treatment of recurrent pterygium.