异体巩膜用于无眼球结膜囊成形术的临床观察  

Clinical application of conjunctivoplasty with allogeneic sclera

作　　者：庄静宜[1] 欧阳小平[1] 朱健[2] 

机构地区：[1]厦门市第一医院眼科,361003 [2]青岛市人民医院

出　　处：《中国实用眼科杂志》2003年第6期442-444,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :为结膜囊成形术提供一新材料。方法 :临床上对 3 2例无眼球伴有结膜囊狭窄的病人进行羟基磷灰石眼台植入 +异体巩膜结膜囊成形术。结果 :临床上 3 2例异体巩膜结膜囊成形术全部成功。由肉眼及裂隙灯下观察到早期巩膜起支架作用 ,术后半个月至 5个月 ,巩膜开始溶解 ,结缔组织逐渐向巩膜表面增长 ,延伸 ,面积逐渐增大直至完全覆盖巩膜 ,形成新的结膜囊。即异体巩膜在结膜囊成形术中开始作为支架 ,此后随着自身的溶解 ,同时也诱导自体新生结缔组织移入 ,最终被结缔组织完全替代。结论 :异体巩膜用于结膜囊成形术方便、安全。Objective:To supply a new material for conjunctivoplasty. Methods:Hydroxypatities were implanted into the conjuctival sac and conjunctivoplasty with allogeneic sclera was run in 32 patients with the stenosis of conjuctival sac. Results:All the 32 cases were successful clinically.In the early stage after operation,allogeneic sclera worked as framework.Then it began to auto-dissolve from half month to 5 months after operation,and the conjunctive tissue grew and expanded gradually over the sclera surface.Finally the expanded conjunctive tissue overgrew the entire sclera and formed the new conjuctival sac. Conclusions:Allogeneic sclera is an excellent material for conjunctivoplasty with convenience,safety and effectiveness,especially when comparing with the autogenous oral mucosa.

关 键 词：异体巩膜 结膜囊成形术 临床观察 无眼球 羟基磷灰石眼台植入 

分 类 号：R779.64[医药卫生—眼科]