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翼状胬肉是眼科常见病,我们用平阳霉素强的松龙直接注入胬肉体部,随访1～2年,效果满意。一、治疗方法将平阳霉素稀释成4mg/ml的溶液(如每安瓿含10mg,则用2.5ml生理盐水稀释)。再抽出强的松龙注射液0.3ml与平阳霉素摇匀备用。每安瓿可用5～6人次。治疗眼先滴1%地卡因液3次,用5号针头在胬肉体部注射平阳霉素强的松龙液0.4ml,每10天注射1次,4次为1疗程。为减少局部反应,治疗期间局部可用抗生素滴眼液,湿热敷等。第一疗程结束后可观察1～2个月,如疗效不显著,可继续进行第二疗程治疗。二、临床疗效观察 1.疗效标准:显效:胬肉消散,头部萎缩、变薄似术后遗留的角膜斑翳。有效;胬肉萎缩呈白色,血管中断,凸起的头部变薄,由进行性变为静止性。无效:胬肉无明显改变。
Pterygium is a common ophthalmology, we use piroxicam prednisolone injected directly into the psoas body, followed up for 1 to 2 years, the effect is satisfactory. First, the treatment Pingyangmycin diluted to 4mg / ml solution (such as containing 10mg per ampoule, then 2.5ml saline diluted). Then extracted prednisolone 0.3ml and Pingyangmycin Shake spare. Each ampoule available 5 to 6 passengers. The eye drops were treated first with 1% dexamethasone 3 times, and then injected with 0.4 ml of Pingyangmycin prednisolone solution in the flesh of the flesh with a 5-gauge needle, and injected once every 10 days for 4 times as a course of treatment. In order to reduce the local reaction, during the treatment of locally available antibiotic eye drops, damp heat and so on. The first course of treatment can be observed after 1 to 2 months, such as the effect is not significant, you can continue to the second course of treatment. Second, the clinical observation of efficacy 1. Efficacy standards: markedly: pterygium dissipated head shrinkage, thinning like left corneal canthus. Effective; pterygium atrophy was white, vascular disruption, raised head thinning, progressive by the static. Invalid: 胬 meat no significant change.