CAJ | 학술논문

目的：评价单纯翼状胬肉切除联合应用0．02％丝裂霉素C治疗翼状胬肉的临床疗效。方法：回顾性分析手术治疗翼状胬肉患者47例（47眼）。按手术时间先后分为2组，对照组23眼：单纯翼状胬肉切除。治疗组24眼：单纯切除联合低浓度0．02％丝裂霉素C，观察2组的临床疗效，对比2组翼状胬肉术后复发率及术后并发症。结果：治疗组复发率8．3％；对照组复发率21．7％；40岁以下人群翼状胬肉术后复发率较高；2组术后均无严重的手术并发症，差异有统计学意义（ P＜0．05）。结论：单纯翼状胬肉切除联合0．02％丝裂霉素C治疗翼状胬肉具有操作简单、复发率低、并发症少的特点，适于临床推广。
목적：평개단순익상노육절제연합응용0．02％사렬매소C치료익상노육적림상료효。방법：회고성분석수술치료익상노육환자47례（47안）。안수술시간선후분위2조，대조조23안：단순익상노육절제。치료조24안：단순절제연합저농도0．02％사렬매소C，관찰2조적림상료효，대비2조익상노육술후복발솔급술후병발증。결과：치료조복발솔8．3％；대조조복발솔21．7％；40세이하인군익상노육술후복발솔교고；2조술후균무엄중적수술병발증，차이유통계학의의（ P＜0．05）。결론：단순익상노육절제연합0．02％사렬매소C치료익상노육구유조작간단、복발솔저、병발증소적특점，괄우림상추엄。
Objective:To evaluate the clinical efficacy of simple pterygium excision combined with application of 0.02%mitomycin C in the treatment of pterygium.Methods:a retrospective analysis of 47 cases of patients with operation in treatment of pterygium (47 eyes). According to the operation period was divided into two groups , control group:23 eyes of pterygium .The treatment group 24 eyes:simple excision combined with low concentration of 0.02%mitomycin C, observe the clinical effect of the two groups , contrast group two pterygi-um recurrence rate and postoperative complications .Results:the treatment group the recurrence rate was 8.3%;the control group the re-currence rate of 21.7%;40 years old the following the crowd pterygium recurrence rate is high;the two groups were no serious complica-tions after operation, the difference was statistically significant (P<0.05).Conclusion:simple pterygium excision combined with 0.02%mitomycin C in the treatment of pterygium has the advantages of simple operation , low recurrence rate , less complications , suitable for clinical application .