方法：回顾性分析我院232例曾行原发性翼状胬肉手术的患者，其中82例行羊膜移植术治疗，90例行自体角膜缘干细胞移植术治疗，60例在术中应用0.2g/L丝裂霉素C治疗，比较三种术式术后复发率及并发症。

结果：自体角膜缘干细胞移植术和术中应用0.2g/L丝裂霉素C治疗原发性翼状胬肉的复发率低于羊膜移植术(P<0.05)； 而自体角膜缘干细胞移植术和术中应用0.2g/L丝裂霉素C之间复发率无差异(P>0.05)。角膜上皮缺损，流泪和畏光在0.2g/L丝裂霉素组发生比例较其他两组高(P<0.05)，在自体角膜缘干细胞移植组和羊膜移植组两组间差异无统计学意义(P>0.05)。结膜充血及结膜下出血在三组间无统计学差异(P>0.05)。

结论：与其他两种术式相比，自体角膜缘干细胞移植术治疗原发性翼状胬肉，有着复发率低、并发症少的优点。

METHODS: Retrospective analysis of 232 patients who were underwent primary pterygium surgery was performed. Eighty-two cases were treated with amniotic membrane transplantation, 90 with autologous corneal limbus stem cell transplantation, and 60 with intraoperative application of 0.2g/L mitomycin C. The postoperative recurrence and complications of three operative methods were compared.

RESULTS: The recurrence rate of autologous corneal limbus stem cell transplantation and intraoperative application of 0.2g/L mitomycin C was lower than that of amniotic membrane transplantation(P<0.05). The recurrence rate between autologous corneal limbus stem cell transplantation and intraoperative application of 0.2g/L mitomycin C had no difference(P>0.05). Corneal epithelium defect, tears and photophobia were higher in 0.2g/L mitomycin C group(P<0.05), which were no statistical difference between autologous corneal limbus stem cell transplantation and amniotic membrane transplantation(P>0.05). Conjunctival congestion and subconjunctival hemorrhage in three groups had no statistical difference(P>0.05).

CONCLUSION: Compared with other two operative methods,autologous corneal limbus stem cell transplantation for primary pterygium has the advantages of lower recurrence rate and less complications.