翼状胬肉单纯切除法疗效观察

Study the pterygium resection and its therapeutic effects

目的探讨翼状胬肉单纯切除法在原发性翼状胬肉中的疗效。方法原发性翼状胬肉患者38例（42只眼），年龄37—66岁，在手术显微镜下行翼状胬肉单纯切除术，术中要广泛彻底地切除结膜下纤维血管组织，同时要注意角膜创面光滑及术后合理用药。复发为胬肉组织侵入角膜。结果38例（42只眼）翼状胬肉患者，随访时间6个月至2年，术后2只眼复发，复发率为4．76％。结论单纯翼状胬肉切除法在重视手术技巧及术中、术后各个环节后，术后复发率明显降低。

Objective To evaluate the efficacy of pterygium resection in primary pterygium patients. Methods Forty-two eyes of 38 patients with primary pterygium,aging from 37 to 66 years old were included. The pterygium resection was performed under the surgical microscope. The extensive excision of the fibrovascular tissue was totally removed, while the heads of pterygium was smoothly resected in cornea. Finally the rational drug was emphasized in postoperative period. The recurrence was defined as fibrovascular tissue over the corneoscleral limbus onto clear cornea in the area of previous pterygium excision. Results Thirty-eight patients were followed up for 6-24 months. Pterygium relapsed in 2 eyes and the recurrent rate was 4.76% （2/42）. Conclusions The recurrence rate significantly decreases after operation. Surgical technique in pterygium resection should be emphasized in operation and postoperation.