国际眼科纵览

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药物预防翼状胬肉的复发

尹明阳  潘志强   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2018-01-23 出版日期:2018-04-22 发布日期:2018-05-04
  • 通讯作者: 潘志强,Email:panyj0526sina.com
  • 基金资助:

    国家自然科学基金(81470608)

Adjunctive drugs on preventing recurrences of pterygium

YIN Ming-yang, PAN Zhi-qiang   

  1.  Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2018-01-23 Online:2018-04-22 Published:2018-05-04
  • Contact: PAN Zhi-qiang, Email: panyj0526sina.com
  • Supported by:

    National Natural Science Foundation of China (81470608)

摘要:

翼状胬肉(pterygium)术后复发是目前影响其手术治疗效果的主要问题,为此常联合药物治疗以降低翼状胬肉的复发率。抗代谢类药物为传统的预防复发用药,其中丝裂霉素C因其药源问题已限制临床应用,5-氟尿嘧啶效果较弱。近年来,抗血管内皮生长因子类药物、环孢素A和干扰素成为新型的手术联合用药,可发挥抗增生和抗新生血管的作用,从而预防翼状胬肉的复发,但药物的成本高,远期效果不明确仍然是目前面临的重要问题。(国际眼科纵览, 2018,  42:  129-133)

Abstract:

Pterygium recurrence is one of the most common complications in pterygium surgery. And various medicines combined with surgery could further reduce the rates of recurrence. As traditional adjunctive therapies, anti-metabolic drugs have been applied to prevent the recurrence of pterygium for decades. However, mitomycin C has been not available  because of its shortage source, and 5-fluorouracil is less effective. Recently, some medicines such as anti-vascular endothelial growth factor agents, cyclosporine A and interferon, characterized by anti-proliferation and anti-angiogenesis, provide  new approaches to prevent the recurrence of pterygium. However, the high costs of above medicines and uncertain long-term effects are still huge problems. (Int Rev Ophthalmol,  2018,  42:   129-133)