| 摘要: |
| ［摘要］ 目的 观察改良翼状胬肉切除联合术中应用丝裂霉素C治疗初发性翼状胬肉的效果，探讨治疗初发性翼状胬肉的临床实用手术技巧。方法 将131眼初发性翼状胬肉随机分为A组(73眼):采用改良翼状胬肉切除联合术中使用丝裂霉素C治疗；B组(58眼):采用单纯翼状胬肉切除联合术中使用撕裂霉素C治疗。两组均由同一医生手术操作，术后随访观察1～2年。结果 术后随访中A组术后表层角膜炎发生率较B组少(P<0.05)。翼状胬肉复发A组4眼，复发率为6.3%；B组10眼，复发率为17.2%，两组比较差异有统计学显著意义(P<0.05)。结论 采用改良翼状胬肉切除联合术中应用丝裂霉素C治疗初发性翼状胬肉，疗效满意、复发率低、刺激症状轻、并发症少，值得推广。 |
| 关键词: 翼状胬肉 改良翼状胬肉切除术 丝裂霉素C |
| DOI：10.3969/j.issn.1674-3806.2009.11.11 |
| 分类号:R 777.33 |
| 基金项目: |
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| Clinical analysis on primary pterygium treated by improved pterygium excision with mitomycin-C |
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ZHONG Hai-bin, LI Min, ZHAO Xin
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Department of Ophthalmology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To observe the effect of primary pterygium treated by improved pterygium excision with mitomycin-C.Methods One hundred and thirty-one eyes were randomly divided into two groups.Seventy-three eyes were treated by improved pterygium excision with mitomycin-C in group A, fifty-eight eyes were treated by simple pterygium excision with mitomycin-C in group B. All surgery had been done by the same doctor. The patients had been followed up for 1～2 years.Results The rate of complication in group A was lower than that in group B(P<0.05). The recurence rate was 6.3% in group A(4 eyes).The recurence rate was 17.2% in group B(10 eyes).The diferences were statistical significance between two groups(P<0.05).Conclusion The method of improved pterygium excision with mitomycin-C can decrease the recurence rate and complication. It is a simple method of pterygium surgery. |
| Key words: Pterygium Improved pterygium excision Mitomycin-C |
