手术撕除联合丝裂霉素C治疗翼状胬肉的临床观察

The Clinical Observation of the Tearing Operation Combined Mitomycin C for Treating Pterygium

目的 比较翼状胬肉3种手术治疗方法的疗效。方法 将178例（184眼）翼状胬肉病例，随机分成3组，Ⅰ组50例（50眼），行单纯翼状胬肉切除术；Ⅱ组62例（64眼）。行翼状胬肉切除术联合结膜瓣自体移植术；Ⅲ组66例（70眼），行翼状胬肉撕除术。以上3种术式中均使用丝裂霉素C。结果Ⅰ组、Ⅱ组、Ⅲ组的复发率分别为16％、9．38％、1．4％．Ⅲ组与Ⅰ组或Ⅱ组相比，复发率显著降低（P＜0．05）。结论 翼状胬肉撕除术联合术中使用丝裂霉素C，手术复发率低，术后效果好。

Objective To compare the curative effect of three operation methods treated the pterygium. Methods One hundred and seventy - eight patients with one hundred and eighty - four pterygiums were randomly divided into three groups： the simple pterygium resection group （Ⅰ ,fifty patients with fifty pterygiums）, the pterygium resection combined autoplant conjunctiva petal group （ Ⅱ, sixty - two patients with sixtyfour pterygiums）, and the pterygium tearing operation group （ Ⅲ, sixty - six patients with seventy pterygiums）. Mitomycin C was usedin allpatients. Results The recmdescent rates of Ⅰ , Ⅱ ,Ⅲ groupwere 16%,9.38%,1.4% respectively. Compared with the Ⅰ or Ⅱ group, the rate of recurrence was significantly decreased in the Ⅲ group （ P 〈 0.05）. Conclusion The tearing operation combined with mitomycin C was an effective therapy method for treating pterygium, and it had a low rate of recurrence.