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对34例原发性和复发性翼状胬肉行切除、结膜移植联合药物治疗预防胬肉复发。分析了胬肉手术后滴用皮质类固醇、噻替哌或丝力霉素C的用法、疗效及并发症。结果:丝力霉素C的所需用药时间显著短于其他两组,P<0.01;且其预防复发的有效性最高,P<0.05;随访平均12.93个月,该组无一例复发,也无严重并发症发生。结论:0.2mg/ml的丝力霉素C是胬肉切除结膜移植术后预防复发的最有效、最安全和方便的药物,尤其对复发病例有效
34 cases of primary and recurrent pterygium resection, conjunctival transplantation combined with drug treatment to prevent recurrence of pterygium. The usage, efficacy and complications of corticosteroid, thiotepa or mitomycin C after dripping from pterygium were analyzed. Results: The required medication time of doxycycline C was significantly shorter than that of the other two groups (P <0.01), and its effectiveness in preventing recurrence was the highest (P <0.05). The mean follow-up was 12.93 months. No recurrence, no serious complications. CONCLUSION: Adriamycin 0.2 mg / ml is the most effective, safe and convenient drug to prevent relapse after conjunctival resection of pterygium, especially for relapse cases