翼状胬肉手术联合药物预防复发的临床观察

TX Clinical observation of pterygium excision and conjunctival transplantation combined medicine for preventing recurence of pterygium

对３４例原发性和复发性翼状胬肉行切除、结膜移植联合药物治疗预防胬肉复发。分析了胬肉手术后滴用皮质类固醇、噻替哌或丝力霉素Ｃ的用法、疗效及并发症。结果：丝力霉素Ｃ的所需用药时间显著短于其他两组，Ｐ＜０．０１；且其预防复发的有效性最高，Ｐ＜０．０５；随访平均１２．９３个月，该组无一例复发，也无严重并发症发生。结论：０．２ｍｇ／ｍｌ的丝力霉素Ｃ是胬肉切除结膜移植术后预防复发的最有效、最安全和方便的药物。

he paper reported that 34 cases of primary and recurrent pterygium were treated by pterygium excsion and conjunctival transplantation combined with corticosteroid of thiotepa or mitomycin C(MMC) respectively.The efficiency methods and complications of these medicines after operating were analysed.Result:Athough period of dropping MMC is the shortest,the difference was statistically significant(P<001).The efficiency of it is the highest,P<005.At the average 1293 month followup,no case recured,also no severe complication took place.Conclusion:02mg/ml MMC is the most effective,convenient and safest medicine after operating for treating and preventing recurence of pterygium,espeially recurenct patient.