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显微手术联合丝裂霉素C治疗翼状胬肉

Microsurgery Combined with Mitomycin C in the Treatment of Pterygium

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【作者】 陈爱蔚张唯伟李明董秋红

【Author】 CHEN Ai-wei, ZHANG Wei-wei, LI Ming, et al. (Department of Ophthalmology, Guizhou Province People Hospital, Guiyang 550002)

【机构】 贵州省人民医院眼科贵州省人民医院眼科 贵州 贵阳 550002贵州 贵阳 550002贵州 贵阳 550002

【摘要】 目的:探讨显微手术联合丝裂霉素C治疗眼翼状胬肉的临床效果.方法:对16例20眼翼状胬肉施行显微镜下切除联合术中丝裂霉素C棉片(0.4mg/ml)一性湿敷5分钟,再用200ml生理盐水充分冲洗.结果:随访3月~18月,18眼痊愈,2眼复发(仅限在巩膜床上).复发率10%,无一例出现虹睫炎,角巩膜坏死,白内障等并发症.结论:显微手术联合丝裂霉素C治疗翼状胬肉优于传统的翼状胬肉切除术.

【Abstract】 Objective: To study the clinical effects of microsurgery combined with mitomycin C in the treatment of pterygium. Methods: 16 cases (20 eyes) with pterygium were treated by microscopic resection and one-time 5min wet dressing of mitomycin C cotton patch (0.4mg/ml) after operation. Then 200 ml normal saline solution was used for thorough irrigation. Results: All the cases underwent 3-18 months follow-up survey. 18 eyes were cured and recurrence occurred for only 2 eyes (limited on sclera) with the recurrence rate as 10%. No cases developed complications such as iridocyclitis, necrosis of corneosclera, and cataract etc. Conclusion: Microsurgery combined with mitomycin C in the treatment of pterygium had better clinical effects than pterygium treated by traditional resection.

【关键词】 翼状胬肉显微手术丝裂霉素C
【Key words】 PterygiumMicrosurgeryMitomycin C
  • 【文献出处】 伤残医学杂志 ,Medical Journal of Trauma and Disability , 编辑部邮箱 ,2004年02期
  • 【分类号】R779.6
  • 【下载频次】5
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