摘要目的 评价翼状胬肉切除带蒂结膜瓣移植术的疗效.方法 回顾性分析2015年12月至2016年11月107例(126眼)翼状胬肉的临床资料.随机分为两组:单纯行翼状胬肉切除术50例(60眼)为A组,翼状胬肉切除自体带蒂结膜瓣移植术57例(66眼)为B组.随访1年进行观察.结果 B组的创面愈合时间短于A组,痊愈率高于A组,复发率和并发症发生率低于A组,差异均有统计学意义(P =0.000、0.032、0.014、0.017).两组术后视力均提高,差异有统计学意义(P=0.000).但术后各时间点视力两组间差异无统计学意义(P=0.246、0.113、1.000、0.164).术后6个月,两组泪膜破裂时间(BUT)差异无统计学意义(P=0.071),术后1年,B组BUT较A组时间长,差异有统计学意义(P =0.000).结论 翼状胬肉切除带蒂结膜瓣移植术利于提高治愈率,维持泪膜稳定性.

abstractsObjective To evaluate the clinical efficacy of pterygium excision combined with pedicled conjunctival flap transplantation.Methods The clinical data of 126 eyes of 107 patients of pterygium from Dec.2015 to Nov.2016 were analyzed retrospectively and all cases were divided into 2 groups randomly.Group A,60 eyes of 50 patients,were treated with pterygium excision.Group B,66 eyes of 57 cases,were treated with pterygium excision combining pedicled conjunctival flap transplantation.The followup time was 1 year.Results The healing time of group B was shorter than that of group A,the cure rate of group B was higher than that of group A,the recurrence rate and complication rate of group B were lower than those of group A,the difference were statistically significant between the two groups (P =0.000,0.032,0.014,0.017).The visual acuity of both groups after surgery were better than that before surgery (P =0.000).The difference of visual acuity at any time after surgery were not significant between the two groups (P=0.246,0.113,1.000,0.164).At 6 months after surgery,there was no significant difference in BUT between the two groups (P =0.071).BUT of group B at i year after surgery were longer than that of group A (P=0.000).Conclusion Pterygium excision combined with pedicled conjunctival flap transplantation is benefit to improve the cure rate,maintain stable tear film,and prevent recurrence after operation.