Objetive To compare the effect of two kinds of conjunctival autograft for the pterygium. Methods 64 patients (69 eyes, 5 eyes were recurrent pterygium combined with mild symblepharon) received surgery under microscope. Patients were divided into conjunctival flap transplantation group(33 eyes) and autologous limbal conjunctiva transplantation group(36 eyes).All cases were followed up for 6-18 months. Results In conjunctival flap transplantation group, six eyes recurred and the recurrence rate was 18.18%. In autologous limbal conjunctiva transplantation group, two eye recurred and the recurrence rate was 5.56%. There was statistical difference between the two groups(P<0.05).Conclusions Pterygium excision with autograft limbal conjunctival transplantation is a better surgical method for the treatment of pterygium.%目的：比较两种自体结膜移植治疗翼状胬肉的疗效。方法对64例（69只眼，其中有复发性翼状胬肉合并轻度睑球粘连的5只眼）分别用两种方法手术，均在显微镜下，其中33只眼行球结膜瓣转位移植术，另36只眼行自体角膜缘结膜移植术。术后随访6-18月。结果球结膜瓣转位移植术组有6只眼复发，复发率为18.18%。自体角膜缘结膜移植术组有2只眼复发，复发率为5.56%。两组复发率经统计学处理具有显著性差异（P﹤0.05）。结论翼状胬肉切除联合自体角膜缘结膜移植术是治疗胬肉的一种比较好的手术方法。
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