中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
5期
394-395
,共2页
角膜溃疡,蚕食性,深层%羊膜%移植
角膜潰瘍,蠶食性,深層%羊膜%移植
각막궤양,잠식성,심층%양막%이식
Ulcer,Mooren' s,deep%Amniotic membrane%Transplantation
目的 探讨农村基层医院在角膜供体短缺的情况下深层蚕食性角膜溃疡行多层羊膜移植术的治疗效果.方法 回顾分析近3年我院收治的8例(8眼)原发性深层蚕食性角膜溃疡,溃疡面积最小的2 mm ×3 mm,最大的3 mm×7 mm,达深基质层,病程长3个月至1年,且反复发作,均采取多层羊膜移植术联合常规综合性治疗.结果 本组病例术后溃疡面均在1～2周内愈合,外层羊膜2周左右脱落或溶解吸收,内层羊膜贴附紧密,2～3个月后渐渐吸收.随访3个月至1年,全组8例角膜上皮完好,原溃疡处角膜变薄,轻度凹陷,未见复发.结论 在不具备角膜板层移植术条件的农村基层医院,多层羊膜移植术是深层蚕食性角膜溃疡较好的治疗手段.
目的 探討農村基層醫院在角膜供體短缺的情況下深層蠶食性角膜潰瘍行多層羊膜移植術的治療效果.方法 迴顧分析近3年我院收治的8例(8眼)原髮性深層蠶食性角膜潰瘍,潰瘍麵積最小的2 mm ×3 mm,最大的3 mm×7 mm,達深基質層,病程長3箇月至1年,且反複髮作,均採取多層羊膜移植術聯閤常規綜閤性治療.結果 本組病例術後潰瘍麵均在1～2週內愈閤,外層羊膜2週左右脫落或溶解吸收,內層羊膜貼附緊密,2～3箇月後漸漸吸收.隨訪3箇月至1年,全組8例角膜上皮完好,原潰瘍處角膜變薄,輕度凹陷,未見複髮.結論 在不具備角膜闆層移植術條件的農村基層醫院,多層羊膜移植術是深層蠶食性角膜潰瘍較好的治療手段.
목적 탐토농촌기층의원재각막공체단결적정황하심층잠식성각막궤양행다층양막이식술적치료효과.방법 회고분석근3년아원수치적8례(8안)원발성심층잠식성각막궤양,궤양면적최소적2 mm ×3 mm,최대적3 mm×7 mm,체심기질층,병정장3개월지1년,차반복발작,균채취다층양막이식술연합상규종합성치료.결과 본조병례술후궤양면균재1～2주내유합,외층양막2주좌우탈락혹용해흡수,내층양막첩부긴밀,2～3개월후점점흡수.수방3개월지1년,전조8례각막상피완호,원궤양처각막변박,경도요함,미견복발.결론 재불구비각막판층이식술조건적농촌기층의원,다층양막이식술시심층잠식성각막궤양교호적치료수단.
Objective To study the therapeutic effect of deep mooren' s ulcer line with multilayer amniotic membrane transplantation in the countryside hospital with a lack of donor cornea.Methods Retrospective analysis was made in 8 cases(8 eyes)of the deep Mooren' s ulcer in our hospital.The smallest ulcer was 2 mn×3 mm,The biggest was 3 mn×7 mm,Ulcers were deep in the matrix layer,for three months to one year,And frequent,accepted multilayer amniotic membrane in transplantation combined regular comprehensive treatment.Results The ulcers in this survey healed smoothly within 2 weeks,Outer amniotic falled off or dissolve in two weeks,Inner amniotic adhesion into the ulcer and gradually dissolved within 2 - 3 months.Followed up for 3 months to 1 year.All 8 cases had integrity of the corneal epithelium,thinning of the original ulcer,with no recurrence.Conclusion Multilayer amniotic membrane transplantation is an effective method to treat deep Mooren' s ulcer in countryside hospital without condition of the lamellar keratoplasty.
