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自体结膜移植术联合角膜移植术在眼部烧伤治疗中的临床应用

The Combinated Surgery of Conjuuctival Autograft Traasplantation and Keratoplasties for Ocular Burns

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【作者】 刘红山龚向明李献华冯宗榴季健萍张壮喜张毅钦

【Author】 Liu Hongshan; Gong Xianpming; Li Xianhua.(Guangzhou Eyeband,Cuangzhou 510110)

【机构】 广州市眼库!510110中山医科大学中山眼科中心

【摘要】 目的探讨自体结膜移植术在眼部烧伤治疗中的应用价值。方法应用自体结膜移植术联合角膜移植术治疗20例单眼眼部烧伤患者,术后随访1.5~24(平均7.55±2.39)个月。结果术后盲目率显著下降(P<0.01),角膜植片透明率为75%,PCED发生率为23%,角膜新生血管复发率为25%。结论手术对键眼具有安全性。应用自体结膜移植术联合角膜移植术治疗单眼眼部烧伤患者,可减少术后并发症、提高手术成功率.具有较好的应用价值。

【Abstract】 To investigate clinically the value of conjunctival autograft transplanttion for ocular burns.Methods The combinated surgery of conjunctival auto-graft transplantation and keratoplasty was performed on 20 cases (20 eyes). The duration of follow - up varied from 1. 5 to 24 months(means 7. 55±2. 39 months). Re-sults The blind rate was significantly decreased(P< 0.01), the corneal graft transparent rate was 75%, the occurence rate of PCED was 25%,the recurrence rate of the corneal neovasculerication was 25%. and no any complications on the opposite eye were found. Conclu-sion Conjunctival autograft transplantation help to minimize the postoperative complications, increase the success rate of keratoplasty for ocular burns, so it is a effective method for ocular unilateral burns.

  • 【文献出处】 临床眼科杂志 ,JOURNAL OF CLINICAL OPHTHALMOLOGY , 编辑部邮箱 ,1997年03期
  • 【分类号】R779.65
  • 【被引频次】2
  • 【下载频次】13
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