摘要
目的探讨应用羊膜遮盖角膜表面并在封闭羊膜空间留置自血的方法治疗细菌性角膜溃疡的疗效。方法我们把经常规的药物治疗10~14天未治愈的细菌性角膜溃疡63例(63眼),随机分为A、B两组。A组35例(35眼),采用新鲜羊膜遮盖角膜表面在封闭羊膜空间留置自血;B组28例(28眼)用结膜下注射抗生素。对两组病例术后眼部刺激症状的缓解情况;角膜溃疡的修复;视力情况进行对比观察。结果眼部刺激症状消失及角膜溃疡愈合,A组优于B组(P<0.01)。20天后两组视力皆有不同程度提高。结论新鲜羊膜遮盖角膜并在羊膜下留置自血对于治疗细菌性角膜溃疡是一种方便、可靠、有效方法。
Objective To approach the effect of treating bacterila corneal ulcer by applying amnion to cover the surface of cornea and detaining autoblood in closed arnnion space. Methods 63 cases of suffering bacterila corneal ulcer who were not cured through conventional drug treatment after 10-14 days were divided randomly into two groups. In A group(35 cases), the surface of cornea was covered with fresh amnion and autoblood was detained in closed amnion space; In B group(28 cases), antibiotics was subconjunetivally injected Relieving of Postoperative ocular region Irritation,restoring ofkeratohelcosis and vision were observed. Results For relieving of Postoperative ocular region Irritation and restoring of keratohelcosis, A group was better(P〈0.01).Vision was elevated at different degree in two groups after 20 days.Conclusion Treating bacterila corneal ulcer by applying amnion to cover the surface of cornea and detaining autoblood in closed amnion space is convenient, reliable and effectual method.
出处
《当代医学》
2009年第4期8-9,共2页
Contemporary Medicine
关键词
羊膜
自血
角膜溃疡
amnion
autoblood
corneal ulcer
keratohelcosis