不同术式治疗翼状胬肉的疗效观察

Efficacy of different surgical treatments for pterygium

目的:寻求一种治疗翼状胬肉的理想手术方式。方法:对121眼采用单纯胬肉切除加巩膜暴露术(49眼)、带蒂结膜瓣转位术(43眼)及加丝裂霉素C的辅助疗法(29眼)3种显微手术方法治疗。随访2mo^4a,比较其复发率。结果:胬肉切除加丝裂霉素C辅助疗法术后无1例复发,单纯胬肉切除加巩膜暴露术复发率为12.3%,带蒂结膜转位术复发率为9.3%,3种手术方法均有部分病例周边角膜云翳。结论:胬肉切除加丝裂霉素C辅助治疗是一种相对理想的手术方法。

AIM： To seek an ideal treatment of pterygium. METHODS： A total of 121 cases （121 eyes） of pterygium were involved in the study. Forty-nine eyes underwent pterygium excision plus exposure of the sclera, 43 eyes underwent pedicle flap transposition of conjunctiva, and 29 eyes received pterygium excision combined with mitomycin C-assisted therapy. All of the three surgical treatments were taken under microscope. During the follow-up of 2 months to 4 years, the recurrence rates were compared. RESULTS. No relapse occurred in eyes treated with mitomycin C-assisted therapy. The recurrence rates were 12.3% and 9.3% in eyes treated by pterygium excision with exposure of the sclera and pedicle conjunctival flap translocation, respectively. There was peripheral corneal nebula in all the three groups. CONCLUSION： Pterygium mitomycin C adjuvant therapy method for pterygium. excision combined with s a relatively ideal surgical