目的:探讨羊膜移植与自体角膜缘干细胞移植治疗翼状胬肉的疗效。方法:选取82例85眼翼状胬肉患者随机分为两组,A组:40眼,行翼状胬肉切除联合羊膜移植,B组:45眼,行翼状胬肉切除联合自体角膜缘干细胞移植。结果:随访9～32mo,A组术后复发2例,复发率5%;B组无复发,治愈率为100%,两组复发率无统计学意义。结论:两种方法治疗翼状胬肉均取得良好效果,翼状胬肉切除联合自体角膜缘干细胞移植疗效更加理想。

AIM:To observe therapeutic effects of excision of pterygium with the amniotic membrane transplantation and the auto-corneal limbus stem cell transplantation.·METHODS:A total of 82 patients 85 eyes which underwent excision of pterygium were randomly divided into 2 groups:Group A (40 eyes),amniotic membrane transplantation group; Group B (45 eyes),auto-corneal limbus stem cell transplantation group.·RESULTS:Followed up for 9 to 32 months after operation,2 cases recurred in group A and the recurrence rate was 5%,while the cure rate was 100% in group B. recurrence rate was not statistically different between the two groups.·CONCLUSION:Both methods have achieved good effect for pterygium,and pterygium excision with auto-corneal limbal stem cell transplantation has a better effect.

R779.6