两种术式治疗翼状胬肉的疗效观察

Efficacy observation of pterygium surgery in two different ways

目的:分析两种不同的手术方式治疗翼状胬肉的临床效果。方法:第1组33例35眼,有2例2眼为复发病例,采用翼状胬肉切除联合游离球结膜瓣移植术。第2组32例35眼,有2例2眼为复发病例,采用翼状胬肉切除联合游离球结膜瓣移植加丝裂霉素棉片术。结果:术后1a内随访,第1组复发1例(1眼),复发率3.03%(2.85%)。第2组复发1例(1眼),复发率3.12%(2.85%),有1例发生球结膜瓣愈合不良,于术后20d拆除结膜瓣缝线。无巩膜溶解等严重并发症。结论:翼状胬肉切除联合游离球结膜瓣移植术与翼状胬肉切除联合游离球结膜瓣移植加丝裂霉素棉片术,复发率均较低,两组间没有差异。

AIM： To analyse results of two different surgical treatment of pterygium. ~ METHODS：The first group of 33 patients （35 eyes）, including 2 patients （2 eyes） of recurrent pterygium, underwent pterygium excision combined with free conjunctival flap transplantation. The second group of 32 patients （35 eyes）, including 2 patients （2 eyes） of recurrent pterygium, underwent pterygium excision combined with free conjunctival flap transplantation plus mitomycin cotton sheet. RESULTS： After la, in first group 1 case（1 eye） had recurrence, the relapse rate was 3.03% of total patients and 2.85% of total eyes. In second group 1 case （1 eye） had recurrence, the relapse rate was 3. 12% of total patients and 2. 85% of total eyes, 1 case had bad conjunctival flap healing and conjunctival flap suture was removed 20 days after operation. No serious complications occurred, such as scleral dissolution. CONCLUSION：Both pterygium excision combined with free conjunctival flap transplantation and pterygium excision combined with free conjunctival flap transplantation plus mitomycin cotton sheet have a lower relapse rate, there is no difference between the two groups.