邢战中 龙土有 张俊 洪莹莹 黄晓哪

    【摘 要】目的 探究翼狀胬肉切除联合带角膜干细胞自体结膜瓣移植2针固定缝合术式的临床疗效。方法选取2020年5月-2021年8月我院收治的54例翼状胬肉患者(69眼)为研究对象，采用随机数字表法分为对照组26例(33眼)与观察组30例(36眼)。对照组给予翼状胬肉切除联合游离自体角膜缘干细胞球结膜移植传统缝合固定术，观察组给予翼状胬肉切除联合角膜缘干细胞自体结膜瓣移植2针固定缝合术，比较两组手术时间、疼痛、复发及并发症发生情况。结果 观察组手术时间为(25.39±7.07)min，短于对照组的(29.68±8.80)min(P0.05)；观察组疼痛发生率为2.78%，低于对照组的21.21%(P0.05)；两组术后10 d拆线时结膜瓣与周围组织均愈合良好，无开裂、卷曲及明显刺激症状。结论 翼状胬肉切除联合带角膜干细胞自体结膜瓣移植2针固定缝合术式的疗效确切，可有效缩短手术时间，减轻患者术后不适，且不会增加并发症发生风险，安全性较高。

    【关键词】翼状胬肉；自体结膜瓣；2针固定缝合术；虹膜恢复器；角膜干细胞

    中图分类号：R777.33 文献标识码：A 文章编号：1004-4949(2022)19-0038-04

    Efficacy Observation of Pterygium Excision Combined with Autologous Conjunctival Flap Transplantation of Corneal Stem Cells with 2-needle Fixed Suture

    XING Zhan-zhong， LONG Tu-you， ZHANG Jun， HONG Ying-ying， HUANG Xiao-na

    (Department of Ophthalmology， Guangdong Agricultural Reclamation Central Hospital， Zhanjiang 524018， Guangdong， China)

    【Abstract】Objective To investigate the clinical effect of pterygium excision combined with autologous conjunctival flap transplantation with corneal stem cells 2-needle fixation suture. Methods A total of 54 patients (69 eyes) with pterygium admitted to our hospital from May 2020 to August 2021 were selected as the research objects. They were divided into control group (26 cases ......