曲安奈德泪阜下注射联合翼状胬肉切除术的临床观察

Clinical observation on triamcinolone acetonide injection below the lacrimal caruncle combined with pterygium excision

目的探讨曲安奈德泪阜下注射联合翼状胬肉切除术对控制术后复发的疗效。方法选择2016年1~11月期间收治26只翼状胬肉眼,常规翼状胬肉切除术后,曲安奈德注射液4 mg行泪阜下注射。观察术后球结膜是否有结膜下翼状胬肉样组织增生及角膜愈合情况、角膜缘新生血管。结果术后1~2 d,26只眼均结膜平复、充血减轻、胬肉完全消退;角膜上皮修复、无新生血管、无胬肉增生。随访6~8个月,平均(7±2)个月,其中,26只眼复发1只眼,复发病例为3型。复发病例表现为:内侧结膜充血,结膜下翼状胬肉样组织增生,但侵入角膜小于2 mm。结论曲安奈德注射液泪阜下注射对控制翼状胬肉术后复发有一定疗效。

Objective To investigate the curative effect of triamcinolone acetonide injection below the lacrimal carnncle combined with pterygium excision in controlling postoperative recurrence. Methods 26 eyes with pterygium from Jan- uary to November in 2016 were selected. After conventional pterygium excision, 4 mg of triameinolone acetonide injec- tion was injected below the lacrimal carnncle into the lesion. Whether the bulbar eonjunctiva had the subeonjunctival pterygium-like tissue hyperplasia, corneal healing, limbal neovascularization were observed. Results At 1-2 days after surgery, the conjunctiva was fiat, the congestion reduced and flesh completely subsided, corneal epithelial was repaired in 26 eyes, and there were no neovascularization or proliferation of pterygium. All the patients were followed up for 6-8 months, with an average of（7±2） months. Among them, 26 eyes had one case of recurrence with type 3. The manifesta- tions of recurrence eases inluded medial eonjunetival hyperemia, subeonjunetiva] pterygium tissue-like proliferation, while the invasion of the cornea was less than 2 ram. Conclusion Triamcinolone acetonide injection below the lacrimal carnncle has some effect in controlling postoperative recurrence of pterygium.