摘要
目的总结2002年12月～2004年4月在我院接受穿透性角膜移植手术患者的流行病学资料,并将其与国外类似报道比较。方法对相应的临床资料做回顾性分析。结果在上述时间内共进行117例穿透性角膜移植。其中男性82例,女性35例。平均年龄45.5±18.7岁(8～75岁)。角膜移植的病因按病例数由多至少依次为角膜炎后角膜白斑,计38例(33.48%),其中,尤以病毒性角膜炎为主。外伤后角膜疤痕及大泡性角膜病变占第二位,各17例(14.53%),随后为移植片排斥、真菌性角膜溃疡、圆锥角膜、角膜营养不良、以及原因不明的角膜白斑。圆锥角膜组的平均年龄为21.83±8.3岁(15～33岁),较平均年龄小(P<0.01)。而大泡性角膜病变组的平均年龄为60±16.65岁(25～84岁),较平均年龄大(P<0.01)。结论与发达国家不同,角膜炎后角膜白斑,外伤后角膜疤痕,大泡性角膜病变依次是角膜移植最常见的原因。
Purpose To evaluate the epidemiologic characteristics of patients who received penetrating keratoplasty (PKP) in our hospital from Dec.2002 to April 2004,and compare it with the similar studies from abroad.Methods A retrospective study of records was conducted.Results A total of 117 PKP were performed on 82 male and 35 female patients during that period.The mean age of patients was 45.5±18.7 yrs (range 8～75).The mean age of patients with keratoconus was younger,and bullous keratopathy was older,than the mean age of total patients respectively (P<0.01).The leading indications of PKP,in order of their decreasing frequency,were corneal scarring in 38 (32.4%) cases,corneal scarring after trauma in 17 (14.53%) cases,bullous kertopathy in 17 (14.53%) cases,and rejection in 11 (9.4%) cases.Fungi keratitis,keratoconus and cornea dystrophy were also included.Conclusion Corneal scarring after keratitis was the main indication of PKP in our series.
出处
《中国眼耳鼻喉科杂志》
2005年第1期31-33,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
