目的:探讨旋转性结膜瓣治疗翼状胬肉手术的远期效果。方法:通过随访66例71眼经旋转性结膜瓣治疗的翼状胬肉患者,平均随访时间3.85a,观察手术眼的结膜血管充血及血管纤维膜增生情况以判断手术效果。结果:在71眼的术后随访中,痊愈58眼,基本痊愈12眼,复发1眼,复发率1.4%。结论:旋转结膜瓣能有效地防止翼状胬肉的术后复发,是一种理想的治疗方法,可广泛应用于临床。

AIM:To evaluate the long-term efficacy in eyes that had been treated with rotation conjunctival flap for pterygium by the postoperative follow-up, and to explore the incidence and causes of recurrence.METHODS:Totally 66 cases (71 eyes) of pterygium which had been operated by this way were followed up for an average of 3.85 years, observed the situation of out of shape filling with the cornea and conjunctival blood vessels of the eyes after surgery, the congestion situation in the location of the canthus wrinkles fold as well as eye movements to determine the effect of surgery.RESULTS:During the follow-up of 14 months to 9 years, 58 eyes were cured, 12 eyes were basically cured, 1 eye recurred, surgical recurrence rate was 1.4%.CONCLUSION:Rotation conjunctival flap can effectively prevent the recurrence of pterygium, which is an ideal method and can be widely used in clinic. 