目的：研究绷带型角膜接触镜在翼状胬肉切除联合新鲜羊膜移植中应用的临床效果。

方法：采用前瞻性对照病例研究，观察2016-01/06在沈阳何氏眼科医院接受翼状胬肉切除联合新鲜羊膜移植的患者600例600眼(双眼翼状胬肉患者，一次手术只做1眼)。按随机数字表法随机分为试验组和对照组，每组300例300眼。试验组在手术结束时配戴绷带型角膜接触镜，术后5d取出； 对照组不做任何处理。比较两组患者术后2h，1、3、5d的疼痛度，并观察术后1a时复发率情况。

结果：两组患者术后2h，1、2、3、5d疼痛程度评分：试验组患者疼痛程度评分均较对照组显著降低，差异有统计学意义(P<0.01)。两组患者术后1a时复发率比较，差异无统计学意义(P>0.05)。

结论：绷带型角膜接触镜可明显减轻翼状胬肉切除术后疼痛反应，但不能明显降低翼状胬肉切除术后的复发率。

METHODS: This study was a prospective analysis of 600 pterygium excision patients(600 cases, 600 eyes)in the He Eye Hospital from January 2016 to June 2016. The patients were randomly and evenly divided into two groups: observation group and control group, 300 cases in each group(300 eyes). Observation group wore the bandage type corneal contact lens after surgery and took it down at fifth day. The control group did not. The degree of pain after surgery were evaluated at 2h, 1, 3 and 5d after surgery. The clinical outcomes in these two groups were compared in a 12mo postoperative follow-up observation.

RESULTS: There were no significant differences between the observation and control group in the percentage of age and gender and size of the pterygium(P>0.05). After surgery, the degree of pain of treatment group significantly decreased compared to control group, the difference was statistically significant(P<0.01). There were no significant differences between the 2 groups comparing treatment outcomes as the recurrence rate(P>0.05).

CONCLUSION: Bandage contact lenses could significantly release pain response after pterygium excision. But it can not reduce the recurrence rate.