CAJ | 학술논문

目的利用封闭式缝合的羊膜与角膜之间的空隙注入自血,留置形成血膜治疗眼表疾病.方法在手术显微镜下机械清除眼表病变组织后,羊膜遮盖角膜、球结膜,环型连续封闭式缝合在球结膜上,取自血注入羊膜与角膜之间,使之形成血膜.结果治疗单疱角膜炎1 7例、大疱性角膜炎9例、角膜瘘2例、重度电光性眼炎3例、酸性伤16例、碱性伤11例、热烧伤13例、非化脓性角膜溃疡17例、角膜移植创口溃疡4例,共计92例.术后明显刺激症状改善,术前难以忍受的疼痛全部消失.羊膜拆除后角膜上皮染色阴性,眼表面稳定达到79例占86%(79/92).因本法应用导致病情加重者为零.结论本法应用羊膜不是移植而是作为生物膜起到衬里作用包敷自血形成血膜,对眼表疾病的刺激症状及疼痛有明显镇痛作用.对眼表的多种疾病创面修复有显著效果.是基层医院临床应用有效方法.
목적이용봉폐식봉합적양막여각막지간적공극주입자혈,류치형성혈막치료안표질병.방법재수술현미경하궤계청제안표병변조직후,양막차개각막、구결막,배형련속봉폐식봉합재구결막상,취자혈주입양막여각막지간,사지형성혈막.결과치료단포각막염1 7례、대포성각막염9례、각막루2례、중도전광성안염3례、산성상16례、감성상11례、열소상13례、비화농성각막궤양17례、각막이식창구궤양4례,공계92례.술후명현자격증상개선,술전난이인수적동통전부소실.양막탁제후각막상피염색음성,안표면은정체도79례점86%(79/92).인본법응용도치병정가중자위령.결론본법응용양막불시이식이시작위생물막기도츤리작용포부자혈형성혈막,대안표질병적자격증상급동통유명현진통작용.대안표적다충질병창면수복유현저효과.시기층의원림상응용유효방법.
Aim To treat epibulbar diseases by injecting antogenous blood into the space produced by suturing an amnion graft overcornea. Methods The lesion tissue of the oeular surface was clewed under the microscope. Then, cornea and ocular conjunctiva werecovered with amnion which was running sutured with ocular conjunctiva. Autogenous blood was injected into the space resulted betweenthe amnion and the cornea and the blood was left to clot. Resultas Ninety-two patients were treated by this way, including 17 herpessimplex conjunctivitis, 9 bulbous keratitis, 2 corneal fistula, 3 comeal bums, 17 non-septic corneal ulcers, and 4 incision ulcers aftercornea grating. The irritation signs in all patients improved significantly and al1 gave pains disappeared after the operations. After theamnion was removed, comeal epithelial staining was negative. Seventy-nine patients acquired stable ocular surface. No case worsenedaggressively after treatment. Conclusion Autogenous blood injected into the space resulted by suturing the annion over the cornea iseffective to eliminate irritation signs and pain caused by epibulbar diseases and to heal the ocular surface in various epibulbar diseases.So, it can be widely used in clinic.