目的:探讨综合治疗复发性翼状胬肉的疗效。方法:患者80例105眼均施行翼状胬肉切除联合平阳霉素注射及羊膜移植,术中用丝裂霉素,术后贝复舒眼液点眼的综合治疗。结果:随访6～18mo,胬肉复发2眼,复发率1.9%;术后并发眼部干、红、异物感等不适症状4眼,无1例发生角膜、巩膜溶解。结论:综合治疗能明显降低复发性翼状胬肉的术后再复发率。

AIM:To observe the recurrence rate and complications of amniotic membrane transplantation combined with subconjunctival injection of pingyangmycin hydrochloride in treating the recurrent pterygium. METHODS:Between 2008 and 2010,80 cases(105 eyes)of recurrent pterygium were treated with pterygium excision combined with amnion membrane transplantation and pingyangmycin hydrochloride injection.Mitomycin was used during the surgery and eye drops of rb-FGF after surgery. RESULTS:All cases were followed up for 6-18 months, pterygium recurrence occurred in 2 eyes.The recurrence rate was 1.9%.Uncomfortable symptoms such as dry,red and foreign body sensation were in 4 eyes,and no corneal and sclera resolving occurrrence in any eye. CONCLUSION:The surgical method of pterygium excision combined with amniotic membrane transplantation and pingyangmycin hydrochloride injection can obviously decrease the recurrence rate of recurrent pterygium.

R779.6