摘要
统计分析了自1976年～1990年15年间所施行的700例741眼次角膜移植手术,其中穿透性角膜移植术494眼次,板层移植术228眼次,眼球前节球壁重建术19眼次。其中79.7％的病例是农民和工人,且20～50岁的患者占75.4％,病变以单疤病毒性角膜炎(静止期和活动期)。细菌或真菌角膜溃疡或疤痕、化学灼伤、角膜营养不良等为主。术后随记1～15年,穿透移植的透明率为69.4％,板层移植的透明率为60.1％,眼球前节球壁重建术19例,术后5年仍有2例植片透明,但之后已变混浊。用穿透性角膜移植术单纯治疗单疱角膜炎231眼,术后透明率达72.3％,化学灼伤和热灼伤115眼次,行穿透移植术38眼次,术后透明率65.8％,80例板层移植,术后透明率28.8％,同时讨论了对病情稳定的轻、中度化学灼伤和热灼伤施行穿透角膜移植术的可行性。
This paper analysed the results of keratoplasty in 700 cases (741 eyes)performed from 1976 to 1990 in the hospital, the penetrating keratoplasty (PKP) 494 eyes, the lamellar keratoplasty (LKP) 228 eyes, and the recontructive surgery of eye (RSASE) 19 eyes. 79.7% patients were pasents and workers, the patients ranged from 20 to 50 in age are 75.4%. The causes of disease were mainly herpes simplex keratitis(HSK), bacteral or fungal corneal ulcer, corneal scarning chemical burns and corneal dystrophies. The follow-up datd of 1-15 years after operations showed the rate of transparent grafts was 69.4% in PKP group 60.1% in LKP group and 10.5% in RSASE group. In addtion, the authers still specially discussed the curative effect and machanism of PKP for HSK and approached the possibilities of PKP treating mild and morderrate chemical and heat burns.
出处
《潍坊医学院学报》
1992年第3期181-185,共5页
Acta Academiae Medicinae Weifang
关键词
角膜疾病
角膜移植术
角膜炎
corneal diseases
keratoplasty
herpes simplex keratitis
