| 丝裂霉素C联合自体游离结膜瓣移植治疗翼状胬肉的临床观察 |
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| 引用本文： | 李佳,周丹虹,陆琳娜. 丝裂霉素C联合自体游离结膜瓣移植治疗翼状胬肉的临床观察[J]. 上海交通大学学报(医学版), 2011, 31(8): 1102-1104. DOI: 10.3969/j.issn.1674-8115.2011.08.012 |
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| 作者姓名： | 李佳 周丹虹 陆琳娜 |
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| 作者单位： | 1. 无锡市第四人民医院眼科,无锡,214062
2. 上海交通大学医学院附属第九人民医院眼科,上海,200011 |
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| 基金项目： | 上海市重点学科建设项目(S30205)~~ |
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| 摘 要： | 目的探讨翼状胬肉切除并自体游离结膜瓣移植联合丝裂霉素C(MMC)治疗翼状胬肉后出现并发症的原因、治疗及预防。方法对139例翼状胬肉患者(153眼)行翼状胬肉切除联合自体结膜瓣移植,术中MMC(0.2 mg/mL)棉片于巩膜面湿敷2 m in,随访1年,对术后并发症进行分析。结果胬肉复发6眼(3.92%);结膜创口延迟愈合11眼(7.19%)及浅层点状角膜炎9眼(5.88%),未予特殊治疗;结膜瓣溶解7眼(4.58%)、巩膜无血管化2眼(1.31%)及继发青光眼1眼(0.65%),局部药物治疗有效;结膜肉芽肿2眼(1.31%)及角巩膜溶解患者2眼(1.31%),联合手术治疗。结论联合丝裂霉素C治疗翼状胬肉可降低胬肉复发,但同时可能造成角巩膜溶解等并发症。应术前排除免疫性疾病史,术中注意敷贴放置位置,术后注重随访,以减少并发症发生。
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| 关 键 词： | 翼状胬肉 丝裂霉素C 游离结膜瓣移植 并发症 |
Clinical observations of conjunctival autografting combined with mitomycin C in treatment of pterygium |
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| LI Jia,ZHOU Dan-hong,LU Lin-na. Clinical observations of conjunctival autografting combined with mitomycin C in treatment of pterygium[J]. Journal of Shanghai Jiaotong University:Medical Science, 2011, 31(8): 1102-1104. DOI: 10.3969/j.issn.1674-8115.2011.08.012 |
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| Authors: | LI Jia ZHOU Dan-hong LU Lin-na |
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| Affiliation: | LI Jia1,ZHOU Dan-hong1,LU Lin-na2(1.Department of Ophthalmology,Wuxi Fourth People's Hospital,Wuxi214062,China,2.Department of Ophthalmology,the Ninth People's Hospital,Shanghai jiaotong University School of Medicine,Shanghai200011,China) |
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| Abstract: | Objective To observe the clinical outcomes of pterygium excision with mitomycin C combined with conjunctival autografting in treatment of pterygium. Methods A total of 139 patients(153 eyes) with pterygium undergoing pterygium excision were treated with conjunctival autograft combined with mitomycin C(0.2 mg/mL,wet packing on sclera for 2 min).All patients were followed up for 1 year,and postoperative complications were assessed. Results Pterygium recurred in 6 eyes(3.92%).Delayed conjunctival wound healing... |
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| Keywords: | pterygium mitomycin C conjunctival autografting complication |
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