摘要
目的研究20%乙醇联合丝裂霉素C翼状胬肉切除术的疗效。方法翼状胬肉患者82例(88眼),随机分组后分别行20%乙醇分离联合丝裂霉素C翼状胬肉切除术(A组43例,47眼)和显微切除联合丝裂霉素C翼状胬肉切除术(B组39例,41眼)。结果术后A、B组角膜创面平均上皮修复时间分别为2.55d和4.90d,差异有统计学意义(P<0.01)。A组角膜创面光滑透明,泪膜形成良好,结膜平整,平均随访8个月,44眼治愈,2眼结膜增厚复发,1眼并发结膜囊肿。B组36眼治愈(87.80%),5眼复发,差异有统计学意义(P<0.05)。结论丝裂霉素C联合20%乙醇翼状胬肉切除术创伤少、并发症少、复发率低、安全性高,不破坏眼部正常生理功能,能恢复正常、健康眼表结构,是治疗翼状胬肉的新方法。
Objective To evaluate the effects of 20% alcohol combined with mitomycin C for the treatment of pterygium. Methods Eighty-eight eyes of 82 patients with pterygium were randomly divided into 2 groups for the treatment of 20% alcohol combined with mitomycin C (group A,47 eyes)and mierosurgery with mitomycin C (group B,41 eyes). Results After the operation, the average epithelial recovering periods of the corneal operating field were 2.55 days in group A and 4.90 days in group B(P 〈0.01 ). The operating field including the cornea and bulbar conjunctiva of group A appeared smoothy and transparent after the operation. An average follow-up of 8 months was done after the operation in all patients. Forty-four eyes of group A (93.62%) were cured,while recrudescence happened in 2 eyes and concurrent conjunctival cyst in 1 eye. Thirty-six eyes were cured in group B(87.80% ) , and 5 eyes suffered relapses. The cure rate was 93.62% in group A and 87.80% in group B, with significant difference between them(P 〈0.05). Conclusions Comparing with the traditional pterygium excision, the new method has the advantage of less complications, lower recurrence rate and higher security.
出处
《中国眼耳鼻喉科杂志》
2009年第1期35-36,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology