摘要
目的比较复合式翼状胬肉切除术和单纯翼状胬肉切除术的临床疗效。方法将235例(261只眼)原发性翼状胬肉患者随机分为2组:带蒂结膜瓣移植联合MMC切除术组118例(125只眼),单纯翼状胬肉切除术组117例(136只眼)。复合式切除术组联合应用丝裂霉素C和带蒂结膜瓣移植,其他手术操作步骤与单纯翼状胬肉切除术组基本相同。结果复合式翼状胬肉切除术组6只眼复发,复发率4.8%;单纯翼状胬肉切除术组33只眼复发.复发率24.2%。2组术后复发率差异有统计学意义。结论胬肉切除、MMC联合带蒂结膜瓣移植复发率低,手术安全.疗效可靠。
Objective To observe the results of two methods in treatment of pterygium. Methods A total of 235 patients（ 261 eyes） were divided into two groups randomly. 118 patients（ 125 eyes ） were treated with compound excision which mitomycin C and conjuctival flap were used. 117 patients （ 136 eyes ） were treated with traditional excision. The postoperative recurrence and complication of two groups were analyzed. Results 6 cases reoccurred and the recurrence rate was 4.8% in compound excision group. 33 cases reoccurred and the recurrence rate was 24.2% in traditional excision group. There was the statistical difference in the recurrence between two groups （P 〈 0.05）. No severe complications were found in two groups. Conclusions The compound excision is safe, effective, reliable for the treatment of pterygium.
出处
《实用防盲技术》
2013年第2期72-73,76,共3页
Journal of Practical Preventing Blind
关键词
翼状胬肉
丝裂霉素
结膜瓣
Pterygium
Mitomycin C
Conjunctival flap.
