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目的 :分析翼状胬肉复发与组织病理学的关系。方法 :选择连续、自愿接受平阳霉素注射并能按我院要求随访的患者 5 4例 ,62只眼 ,给予平阳霉素 8mg和地塞米松 5mg以生理盐水 1ml或 2ml稀释的平阳霉素地塞米松混合液抽 0 1～0 2ml翼状胬肉体部注射 ,6～ 9天后行翼状胬肉切除 +带蒂结膜瓣转位移植 +巩膜暴露术 ,胬肉组织送病理 ,跟踪 10～ 4 0个月 ,观察胬肉的复发率。结果 :复发的 6只眼中 5只眼病理结果均有不同程度的鳞状上皮增生 ,占 83 3 3 % ,而对于无复发者 ,鳞状上皮增生者仅占 8 93 %。结论 :翼状胬肉的复发与患者胬肉的组织病理关系密切 ,鳞状上皮增生者复发率相对较高 ,χ2检验P <0 0 0 5 ,有非常显著性差异
Objective: To analyze the relationship between the recurrence of pterygium and histopathology. Methods: A total of 54 patients (62 eyes) who received Pingyangmycin injection on a regular basis and were followed up as required by our hospital were given Pingyangmycin 8mg and dexamethasone 5mg with 1ml of normal saline or 2ml of bleomycin Dexamethasone mixture of 0 1 ~ 0 2ml pterygium body injection, 6 to 9 days after the pterygium excision + pedicle conjunctival flap transplanted grafts + scleral exposure surgery, pterygium tissue sent pathology, tracking 10 ~ 40 Month, observe the recurrence rate of pterygium. Results: The pathological findings of 5 eyes of all the 6 eyes showed 83 3 3% of the recurrences, while only 8 93% of the 5 eyes showed no recurrence of squamous hyperplasia. Conclusion: The recurrence of pterygium is closely related to the histopathology of pterygium. The recurrence rate of squamous epithelium hyperplasia is relatively high. There is a significant difference between the two groups (P <0.05)