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目的探讨翼状胬肉羊膜移植联合术中应用丝裂霉素C的效果。方法翼状胬肉45例(48眼),其中原发性翼状胬肉31例(34眼),复发性翼状胬肉14例(14眼),均采用羊膜移植联合术中应用丝裂霉素C,随访12~18个月,观察手术效果。结果翼状胬肉治愈45眼(93.75%),复发3眼(6.25%)。其中1眼为原发性翼状胬肉,2眼为复发性翼状胬肉。羊膜移植未发生排斥反应,未发生角膜巩膜融解坏死、溃疡或感染等严重并发症。结论翼状胬肉采用羊膜移植联合丝裂霉素C应用效果良好,复发率低,无排斥反应,无严重并发症。
Objective To investigate the effect of applying mitomycin C in the operation of amniotic membrane transplantation combined with pterygium. Methods Pterygium 45 cases (48 eyes), including 31 cases of primary pterygium (34 eyes), recurrent pterygium in 14 cases (14 eyes), were used amniotic membrane transplantation combined with intraoperative mitomycin C , Followed up for 12 to 18 months, observed the effect of surgery. Results Pterygium was cured in 45 eyes (93.75%) and recurrence in 3 eyes (6.25%). One of them was primary pterygium and two of them were recurrent pterygium. Amniotic membrane transplantation did not occur rejection, no corneal scleral melt necrosis, ulcers or infection and other serious complications. Conclusion The use of amniotic membrane transplantation combined with mitomycin C in pterygium has good effect, low recurrence rate, no rejection and no serious complications.