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重度化学性眼灼伤早期手术治疗的探讨 被引量:3

Exploration of early surgery for serious chemical eye burns
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摘要 目的观察重度化学性眼灼伤早期(伤后3周内)行结膜与角膜移植手术治疗的临床疗效。方法对18例(21眼)重度化学性眼灼伤早期行坏死结膜、角膜板层组织切除联合结膜及板层角膜移植,术后随访1a以上。结果15只眼手术成功,维系相对正常的球表结构,为尔后行增视性角膜移植创造了条件。结论重度化学性眼灼伤早期行结膜及角膜板层移植手术是可行及有效的,比保守治疗主动。可在相当程度上扼制灼伤后持续的炎症反应过程。手术适应证。 ObjectiveTo observe the clinical effect of conjunctival and corneal graft in early stages of chemical eye burn(less than 3 wk).MethodsConjunctival and corneal lesion excision associated with conjunctival and corneal lamellar graft were performed for 21 eyes(18 cases) with early serious chemical eye injury.Follow up was made more than 1 a.ResultsSurgery was successful in 15 eyes and a normal surface structure of cornea was obtained.ConclusionEarly conjunctival and corneal graft surgery for chemical eye burns is effective.It appears to effectively inhibit continuing inflammatory response after injury.The indication,technique and postoperative management of surgery still need to be investigated.
出处 《眼科研究》 CSCD 1998年第3期210-212,共3页 Chinese Ophthalmic Research
关键词 眼灼伤 化学烧伤 结膜移植 角膜移植 hemical burn conjunctival and corneal graft
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  • 1朱志忠 孙秉基 王印其.重症碱灼伤早期结膜与角膜板层移植[J].角膜病杂志,1981,2(2):89-89. 被引量:1
  • 2马镇西 朱志忠 王印其.眼前节碱灼伤治疗回顾[J].中华眼科杂志,1983,19:262-262. 被引量:1
  • 3孙秉基,徐锦堂主编..角膜病的理论基础与临床[M].北京:科学技术文献出版社,1994:606.
  • 4Pefister RR. Additional clinical and morphological observations on the favorable effect of ascorbate in experimental ocular alkali bums. Invest Ophthalmol Vis Sci, 1977,16:478. 被引量:1

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