方法：回顾性分析作者手术治疗的复发性翼状胬肉患者38例40眼(A组)及原发性翼状胬肉195例231眼(分为B组156例185眼和C组39例46眼)，追踪观察1～6a。

结果：行广泛性翼状胬肉切除联合羊膜移植术后A组复发6眼，复发率为15%，B组复发11眼，复发率为6%。C组行单纯广泛性翼状胬肉切除术后复发10眼，复发率22%。A组与B组(P<0.05)，B组与C组(P<0.01)间复发率的差异具有统计学意义。

结论：广泛性翼状胬肉切除联合羊膜移植术治疗复发性与原发性胬肉安全有效，能降低术后复发率，但对原发性胬肉的效果更好。

METHODS: A retrospective study was done for 231 eyes of 195 patients with extensive removal of pterygium combined with amniotic membrane graft, and 46 eyes of 39 cases with simple extensive excision. All patients were divided into 3 groups. Group A(40 eyes of 38 patients)suffered with recurrent pterygium. Group B(185 eyes of 156 patients)and group C(46 eyes of 39 patients)suffered with primary pterygium. The follow up period was from 1 year to 6 years.

RESULTS: Group A 40 eyes of 6 recurrence(15%); Group B 185 eyes of 11 recurrence(6%); and group C 46 eyes of 10 recurrence(22%).The recurrent rate between group A and group B(P<0.05), between group B and group C(P<0.01)was significant difference.

CONCLUSION: Extensive removal of pterygium combined with amniotic membrane graft can reduce the recurrent rate after primary pterygium and recurrent pterygium excision, but it is more effective for primary pterygium.