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作 者:聂爱芹 蒋莉 李伟[1] NIE Ai-qin;JIANG Li;LI Wei(Shenzhen Peoples Hospital,The Second Clinical Medical College of Jinan University,Shenzhen Guangdong 518020,China)
机构地区:[1]深圳市人民医院/暨南大学第二临床医学院,广东深圳518020
出 处:《湖北科技学院学报(医学版)》2018年第4期294-297,共4页Journal of Hubei University of Science and Technology(Medical Sciences)
摘 要:目的探讨常见的三种类型的羊膜手术在眼表重建中的临床疗效。方法回顾分析在我院实施羊膜手术治疗的眼表疾病患者48例(52眼),根据实施的手术方式不同分为三组,分别为羊膜遮盖术组、羊膜移植术组、羊膜填充术组。结果三种羊膜手术方式总有效率为90.4%(47/52),其中羊膜遮盖术组15例(18眼),原发疾病为化学伤,有效率为100%;羊膜移植术组16例(17眼),原发疾病为睑球粘连,有效率为82.4%;羊膜填充术组17例(17眼),原发疾病包括角膜深层溃疡15例(15眼)及角膜穿孔2例(2眼),有效率为88.2%。术后随访6~24个月,三种羊膜手术总有效率比较差异无统计学意义(P>0.05)。结论羊膜手术是眼表重建的重要治疗手段,临床工作中我们应根据疾病类型选择相应的手术方式。Objective To evaluage the clinical effects of three common types of amniotic membrane surgeries on ocular surface reconstruction.Methods An analysis was made of 48 patients( 52 eyes) diagnosed with ocular surface diseases patients and received amniotic membrane surgery in our hospital during the period from June 2013 to June 2017.According to the surgical procedure,patients were divided into three groups: amniotic membrane covering,amniotic membrane transplantation and amniotic membrane filling. Results The total effective rate was 90.4%( 47/52),and the respective effective rates were 100% for 15 cases( 18 eyes) of patients diagnosed with acute chemical injury and treated with amniotic membrane covering,82. 4% for 17 cases( 17 eyes) of patients diagnosed with primary symblepharon and treated with amniotic membrane transplantation,and88.2% for 17 cases( 17 eyes) of patients who were diagnosed with either deep corneal ulcer( 15 cases 15 eyes)or corneal perforation( 2 cases 2 eyes) and treated with amniotic membrane filling.All patients were followed up for 6 months to 24 months.The effective rates between the three types of amniotic membrane surgeries were not statistically significant( P〉0.05).Conclusion Amniotic membrane surgery is an important treatment for ocular surface reconstruction.In clinical practice,the surgical method should be appropriatly chosen according to differenty types of disease.
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