摘要
目的：观察新鲜羊膜移植对翼状胬肉及严重睑球粘连临床疗效的影响。方法：采用新鲜羊膜移植治疗翼状胬肉及严重睑球粘连56例73只眼,其中翼状胬肉37例49只眼,各种原因导致的大面积睑球粘连19例24只眼。翼状胬肉患者中复发性翼状胬肉为11例,初发性翼状胬肉为38只眼。手术均在显微镜下完成。结果：术后随访6~18个月,平均为12个月,93.2%（5/73）羊膜移植手术均一次成功,临床上均未见新鲜羊膜植片急性排斥反应。翼状胬肉患者除3只眼2月后复发外,其余全部均一次性治愈;严重睑球粘连24眼中,22只眼恢复了眼球的运动功能,2只眼术后3个月再次发生睑球粘连,但粘连面积较术前明显减小。结论：新鲜羊膜移植是治疗翼状胬肉及睑球粘连的有效方法。
Objective： To observe the clinical efficacy of fresh aminiotic membrance transplantation in treatment of ptergium and symblepharon. Method： Transplant with fresh aminiotic membrance by microscope including 37 patients（49 eyes including 11 recurrented ones ） with pterygium and 19 patients （24eyes） with severe symblephoron. Result： The fresh aminiotic membrance transplantation were successful in most of the patients with pterygium in the follow - up period for 6- 18 months, patients were currented in one time except three eyes of theirs recurrented two months later. Ocular surface reconstruction was successful in 22 of 24 eyes with severe symblepharon , but two eyes of them recurrented three months later with less than Pre - transplantation in degree. Conclusion： The transplantation with fresh aminiotic membrance transplantation is an effective and simple theraputic method for the pterygium and symblepharon .
出处
《河北医学》
CAS
2007年第11期1322-1325,共4页
Hebei Medicine
关键词
新鲜羊膜
移植
翼状胬肉
睑球粘连
Fresh aminiotic membrance
Transplantation
Pterygium
Symblepharon
