治疗翼状胬肉两种不同术式的临床分析.pdfVIP

50 • 论 著 • August 2013, Vol.11, No.22 Guide of China Medicine 器,2006,4(2):22-24. du r in g lab ou r :I D et er m in at ion of t h e op t imu m con cer n - [6] Yeo ST,Holdcroft A,Yentis SM,et al.Analgesia with sevoflurane tration[J].Br Anaeth,2007,98(1):105-109. 治疗翼状胬肉两种不同术式的临床分析 李勇全 钟文东 唐雄伟 （广东省茂名市茂名石化医院眼科，广东 茂名 525000 ） 【摘要】目的 探讨生物羊膜治疗翼状胬肉的临床疗效。方法 将我院收治的 128 例 （137 眼）翼状胬肉患者随机分为两组。对照组 63 例 （67 眼）临床行翼状胬肉切除 + 丝裂霉素处理；治疗组 65 例 （71 眼）临床行翼状胬肉切除 + 丝裂霉素处理 + 生物羊膜移植治疗，术后随诊 6— 12 个月，观察治疗效果。结果 治疗组治愈率 93% ，复发率 7%；对照组治愈率 79.1% ，复发率 20.9% ，；两组疗效比较差异有统计学意义。 结论 临床采用生物羊膜移植治疗翼状胬肉复发率低，治疗效果显著，值得临床推广应用。 【关键词】 翼状胬肉；生物羊膜；丝裂霉素；移植术 中图分类号：R777.33 文献标识码：B 文章编号：1671-8194（2013）22-0050-02 LI Yong-quan, ZHONG Wen-dong, TANG Xiong-wei (Department of Ophthalmology, Maoming Petrochemical Industry Hospital, Maoming 525000) [Abstract] Objective To investigate the clinical effect of amniotic membrane for treatment of pterygium. Methods In our hospital, 128 cases ( 137 ) ( ) eyes of pterygium were randomly divided into two groups. A control group of 63 cases 67 eyes underwent pterygium excision with mitomycin clinical ( ) treatment; the treatment group of 65 cases 71 eyes underwent pterygium excision with mitomycin in clinical treatment and biological amniotic membrane transplantation for the treatment of postoperative follow-up, 6 - 12 months, observed the effect of treatment. Results The treatment group cure rate was 93%, the relapse rate was 7%; control group, the cure rate was 79.1%, the relapse rate was 20.9%; there was significant difference betw