CAJ | 학술논문

目的：探讨临时结膜瓣联合清创术治疗难治性角膜溃疡的临床效果。方法收集我院2011年1月~2013年6月经药物治疗无效的感染性角膜溃疡患者38例(38眼)，进行临时带蒂结膜瓣移植手术治疗。术后随访6个月。结果本组38例，33例治愈，治愈率为86.84豫；平均治愈时间(14.10±4.81)d；角膜新生血管形成2例(5.26豫)；术后裸眼视力≥0.3者11例(33.33豫)，0.02~0.1者13例(39.40豫)。5例治疗失败，角膜穿孔，视力永久丧失。结论临时结膜瓣联合清创术治疗难治性角膜溃疡安全有效，并且角膜新生血管形成少，但对晚期病例疗效不理想。
목적：탐토림시결막판연합청창술치료난치성각막궤양적림상효과。방법수집아원2011년1월~2013년6월경약물치료무효적감염성각막궤양환자38례(38안)，진행림시대체결막판이식수술치료。술후수방6개월。결과본조38례，33례치유，치유솔위86.84예；평균치유시간(14.10±4.81)d；각막신생혈관형성2례(5.26예)；술후라안시력≥0.3자11례(33.33예)，0.02~0.1자13례(39.40예)。5례치료실패，각막천공，시력영구상실。결론림시결막판연합청창술치료난치성각막궤양안전유효，병차각막신생혈관형성소，단대만기병례료효불이상。
Objective To explore the clinical ef ect of temporary conjunctival flap debridement in the treatment of refractory corneal ulcer. Methods In our hospital in 2011 January~2013 6 menstrual medication invalid infective corneal ulcer in 38 cases (38 eyes), temporary pedicled conjunctival flap transplantation operation treatment. During the follow-up period of 6 months. Results The 38 cases, 33 cases were cured, the cure rate was 86.84%; the average healing time was (14.10±4.81) d; corneal neovascularization in 2 cases (5.26%);11 cases of postoperative UCVA≥0.3 (33.33%), 13 cases of 0.02~0.1(39.40%). Failure, treatment of 5 cases of corneal perforation, permanent vision loss.Conclusion Temporary conjunctival flap combined with debridement in the treatment of refractory corneal ulcer is safe and ef ective, and corneal neovascularization and less, but the ef ect is not ideal for advanced cases.