显微手术联合丝裂霉素C治疗翼状胬肉

Microsurgery Combined with Mitomycin C in the Treatment of Pterygium

目的：探讨显微手术联合丝裂霉素C治疗眼翼状胬肉的临床效果．方法：对16例20眼翼状胬肉施行显微镜下切除联合术中丝裂霉素C棉片(0．4mg／m1)一次性湿敷5分钟，再用200ml生理盐水充分冲洗．结果：随访3月-18月，18眼痊愈，2眼复发(仅限在巩膜床上)．复发率10％，无一例出现虹睫炎，角巩膜坏死，白内障等并发症．结论：显微手术联合丝裂霉素C治疗翼状胬肉优于传统的翼状胬肉切除术．

Objective: To study the clinical effects of microsurgery combined with mitomycin C in the treatment of pterygium. Methods: 16 cases (20 eyes) with pterygium were treated by microscopic resection and one-time 5min wet dressing of mitomycin C cotton patch (0.4mg/ml) after operation. Then 200 ml normal saline solution was used for thorough irrigation. Results: All the cases underwent 3-18 months follow-up survey. 18 eyes were cured and recurrence occurred for only 2 eyes (limited on sclera) with the recurrence rate as 10%. No cases developed complications such as iridocyclitis, necrosis of corneosclera, and cataract etc. Conclusion: Microsurgery combined with mitomycin C in the treatment of pterygium had better clinical effects than pterygium treated by traditional resection.