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目的为最大限度地降低翼状胬肉术后复发率,总结了各种治疗方法并提出了六点看法。方法对143例186眼翼状胬肉患者的患病率、好发部位、多发人群、年龄,以及通过药物和不同的手术方式治疗,术后复发率的情况进行统计分析。结果药物疗效差。单纯胬肉切除复发率为40.91%,切除胬肉术中、术后用丝裂霉素复发率分别为10%和17.24%;胬肉切除+结膜移植术复发率为1.20%。结论引起胬肉术后复发因素是多方面的。手术是主要治疗方法。推荐应用胬肉切除+结膜移植术。
The purpose is to minimize the recurrence rate of pterygium surgery, summarize the various treatment methods and put forward six views. Methods 143 cases of 186 patients with pterygium, the prevalence, the incidence of multiple sites, multiple populations, age, and through the treatment of drugs and different surgical methods, the incidence of postoperative recurrence were statistically analyzed. The results of poor efficacy of drugs. The recurrence rate of simple pterygium resection was 40.91%. In resection pterygium surgery, the recurrence rates of mitomycin C were 10% and 17.24% respectively. The recurrence rate of pterygium resection + conjunctival transplantation was 1.20 %. Conclusion The causes of postoperative recurrence of pterygium are many. Surgery is the main treatment. Recommended pterygium excision + conjunctival transplantation.