羊膜移植在眼表疾病中的应用  

Application of amniotic membrane in ocular surface disease

作　　者：刘亚男[1] 赵德宣[1] 张志红[2] 

机构地区：[1]安徽省阜阳市人民医院眼科,236004 [2]广州中山医科大学眼科中心

出　　处：《眼外伤职业眼病杂志》2002年第1期58-59,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的 探讨羊膜移植治疗眼表疾病的疗效，寻找有效降低翼状胬肉术后复发率的新方法。方法 对３４例翼状胬肉、１例硷烧伤致睑球粘连患者进行保存羊膜移植手术，并在术后３月、６月分别取患眼部分羊膜植片进行组织细胞学检查，随访３～１８月。结果 羊膜移植片生长良好。术后复发率为５７％。无感染现象。细胞学检查表明，羊膜能够在免疫条件下成活后适应生长。结论 羊膜移植可用于治疗多种眼表疾病，尤其可以有效降低翼状胬肉术后复发率，是一种能够重建正常眼表，值得推广的新手术。Objective To evaluate the efficiency of amniotic membrane trans- plantation for ocular surface disease and seek for a new method which can effectively decrease the relapse of pterygium. Methods Amniotic membrane transplantation was operated on thirtv-four ptervgiums. one a tretoblepharia caused by alkali injure. After 3 and 6 months operation, xenografts were examined with histology. All cases were followed up for 3- 18 months. Results Amniotic membrane xenograft grown well. Re- lapse rate was 5.7%. Histology indicated that amniotic membrane can adapt to the immune and grow up. Conclusion Amniotic membrance transplantation can cure some kinds of ocular surface diseases, especially can effectively decrease the relapse of pterygium. It can reconstructs the normal ocular surface. The technique is valuable to be applied enten- sively.

关 键 词：羊膜移植 眼表疾病 复发率 翼状胬肉 

分 类 号：R779.6[医药卫生—眼科]