目的:探讨顺行与逆行切除术治疗翼状胬肉的疗效。方法:选择2006-01/2010-06的320眼翼状胬肉患者,随机分成两组,顺行切除术联合丝裂霉素128眼,逆行切除术联合丝裂霉素192眼。结果:术后1a,顺行切除术联合丝裂霉素组中治愈者117眼,有效率91.4%;逆行切除术联合丝裂霉素组中治愈者187眼,有效率97.4%。两组术后有效率比较差异有统计学意义(P=0.016)。结论:逆行切除术联合丝裂霉素是治疗翼状胬肉的一种有效方法。

AIM:To evaluate the therapeutic effect of the anterograde and retrograde resection for treatment of pterygium.METHODS:From January 2006 to June 2010,totally 320 patients of 320 eyes with pterygium were randomly divided into 2 groups and underwent different operations.Pterygium was treated with anterograde resection combined with mitomycin C(MMC) for 128 eyes,and pterygium was treated with retrograde resection combined with MMC for 192 eyes.RESULTS:One year after operation,effective rate of the anterograde resection group and retrograde resection group were 91.4%(117 cases) and 97.4%(187 cases)respectively,which had statistically significant difference(P=0.016).CONCLUSION:The retrograde resection combined with MMC is an effective approach for pterygium.

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