重症化脓性角膜炎的手术治疗观察  

Observation on Surgery Treatment of Severe Suppaurative Keratitis

作　　者：张立伟[1] 

机构地区：[1]齐齐哈尔市泰来县人民医院,162400

出　　处：《中国继续医学教育》2015年第12期107-108,共2页China Continuing Medical Education

摘　　要：目的：对重症化脓性角膜炎的手术治疗方法和临床效果进行观察研究。方法选取于2014年2月～2015年2月期间在我院接受治疗的39例重症化脓性角膜炎患者，所有患者均根据实际病情来选取部分板层角膜移植术、胬肉切除术、羊膜移植术、结膜瓣遮盖术等针对性的手术进行治疗。结果经过手术治疗后患者的治疗总有效率为97.4%；复发率为7.7%，感染复发的3例患者中有1例患者病情严重导致眼球摘除，另外2例患者分别再次行板层大植片穿透性角膜移植术及部分板层角膜移植术成功。结论对重症化脓性角膜炎患者根据实际病情来选取针对性的手术进行治疗能够取得显著的临床效果，能够显著降低眼球摘除率，有利于提高患者的生活质量。Objective Surgery treatment method and its effect in treatment of severe suppaurative keratitis are to be investigated.MethodsChoose 39 patients of severe suppaurative keratitis who are treated in hospital from February 2014 to February 2015 and treat these patients with different surgery methods, including lamellar keratoplasty, pterygium excision, amniotic membrane transplantation and conjunctival flap, on a basis of patients’ illness condition.ResultsAfter surgery treatment, patients’ treatment efifcacy is up to 97.4%; illness reoccurrence rate is 7.7%; but 1 out of 3 patients of recurrent infection is so serious that leads to eyeball enucleation, while the other 2 patients underwent successful surgery treatment of lamellar penetrating keratoplasty and lamellar keratoplasty. ConclusionThe treatment of patients with severe suppaurative keratitis, choosing targeted surgery treatment with taking patients’ illness condition into account is effective to reduce eyeball enucleation probability, which is signiifcant for improvement of patients’ quality of life.

关 键 词：重症化脓性角膜炎 手术治疗 

分 类 号：R772.21[医药卫生—眼科]