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封冻羊膜移植治疗翼状胬肉及眼化学烧伤的临床观察

Treatment of pterygium by frozed amniotic membrane grafting and clinical observation of eye chemical burn
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摘要 目的:观察封冻羊膜移植治疗翼状胬肉及眼化学烧伤的临床效果。方法:采用封冻羊膜移植术治疗眼表疾病患者66例(81眼),其中翼状胬肉56例(71眼)、急性重度眼表碱烧伤10例(10眼)。结果:翼状胬肉患者术后1-4周正常上皮沿羊膜生长,无1例发生感染。经过6-12月的随访观察,有8眼复发,手术成功率为88.7%,复发率为11.3%;重度眼表碱烧伤患者除2例术后1周发生羊膜脱落溶解外,其余8例术后羊膜移植片平伏,获得成功重建眼表。结论:封冻羊膜移植能有效减少翼状胬肉的复发率;对于重度碱烧伤患者阻止角膜穿孔,减轻炎症反应,阻止角膜缘新生血管侵入有效。 Objective: To observe the treatment of pterygium by frozed amniotic membrane grafting and clinical observation of eye chemical burn. Methods:81 eyes in 66 cases of ocular disease were treated by frozed amniotic membrane grafting,including 71 eyes in 56 cases of pterygium and 10 cases of acute severe alkali burn. Results: Commen epithelium were grown around amniotic membrane at 1-4 weeks after transplantation and none was infected. By 6- 12 month' s follow- uPvisit, 8 eyes of pterygiurn have recurred, and the achievement ratio was 88. 7% while the recurrence rate was 11.3%. Amniotic membrane grafting of all cases were resupination and gained re-establishment of ocular successfully after transplantation excepting amniotic membrane defluxion and dissolving at 1 week after transplantation in 2 cases of serere slkali burn. Conclusions: Frozed amniotic membrane grafting reduce the recurrence rate of pterygium effectively, and reduce inflammatory reaction and prevent invading of neovaseularity of limbus of cornea effectively.
出处 《中国冶金工业医学杂志》 2007年第4期394-395,共2页 Chinese Medical Journal of Metallurgical industry
关键词 羊膜移植 翼状胬肉 化学性眼烧伤 Amniotic membrane grafting Pterygium Chemical burn of eye
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