目的:比较单纯翼状胬肉手术与应用康宁克通A与20g/L丝裂霉素于单纯翼状胬肉切除术后的疗效观察。方法:将72例80眼随机分两组,每组均为36例。A组,单纯翼状胬肉手术;B组,单纯翼状胬肉手术中注射康宁克通A与20g/L丝裂霉素(1:1)约0.2mL于泪阜处球结膜下。观察术后角膜上皮修复,角膜缘新生血管及翼状胬复发情况。结果:术后随诊6～36mo,A组中有14眼复发,B组有1眼复发。结论:单纯翼状胬肉手术较应用康宁克通A与20g/L丝裂霉素于单纯翼状胬肉手术有明显的对比,后者的复发率明显低于前者。有效阻止胬肉的复发,方法简要,并发症少,值得临床推广。

AIM:To observe the curative effect of the simple operation on pterygium and the operation on pterygium with the application Kenacort A and 20g/L Mitomycin.·METHODS:Seventy-two cases 80 eyes were divided randomly into two group with 36 cases each,namely group A:adopting the simple operation on pterygium and group B:adopting the operation on pterygium with the injection of about 0.2mL Kenacort A and 20g/L Mitomycin (1∶1)in the bulbar conjunctiva of the carunculae lacrimalis and after operations the epithelium cornea restoration,the new vessels of corneal limbus,the recidivation of pterygium were observed.·RESULTS:During 6-36 months’ postoperative follow-up,there were 14 eyes recidivated in group A,but only one in group B.·CONCLUSION:There is an obvious contrast in curative effect of the simple operation on pterygium and the operation on pterygium with the application of Kenacort A and 20g/L Mitomycin,the recurrence rate of the latter is much lower than the former and the latter prevents pterygium from recurring.In the mean time,this technique is simple and it is much safer for the patients.So it is worthy to advocate to ophthalmic surgery.

R779.6