CAJ | 학술논문

目的探讨植物性角膜外伤致真菌性角膜炎的治疗方法和效果.方法对83例(83只眼)有角膜植物伤史的感染性角膜炎病例，通过直接镜检或根据角膜溃疡的表现或通过实验室真菌培养等方式予以确诊后，选择治疗方案.83例中行溃疡面清除联合羊膜移植术的22例，行板层角膜移植术的8只眼，所有病人行溃疡面清除加碘酊烧灼，局部和全身常规使用抗真菌药物治疗.结果83例病例中81例治愈，治愈率97.5%，视力均较前增加.2例就诊时角膜已大面积毁坏，接近穿孔，前房大量积脓，最终病情恶化而不得不选择眼球内容摘除术.结论在真菌性角膜炎的治疗中，药物的合理应用，手术技巧的革新和手术方式的正确选择，是有效控制感染并防止感染复发的关键.
목적탐토식물성각막외상치진균성각막염적치료방법화효과.방법대83례(83지안)유각막식물상사적감염성각막염병례，통과직접경검혹근거각막궤양적표현혹통과실험실진균배양등방식여이학진후，선택치료방안.83례중행궤양면청제연합양막이식술적22례，행판층각막이식술적8지안，소유병인행궤양면청제가전정소작，국부화전신상규사용항진균약물치료.결과83례병례중81례치유，치유솔97.5%，시력균교전증가.2례취진시각막이대면적훼배，접근천공，전방대량적농，최종병정악화이불득불선택안구내용적제술.결론재진균성각막염적치료중，약물적합리응용，수술기교적혁신화수술방식적정학선택，시유효공제감염병방지감염복발적관건.
Objectiveo To investigate the means and clinical efficacy of cornea plant trauma cause fungal keratitis. Methods Cornea for 83 cases (83 eyes) plant trauma , cause infectivity keratitis cases reported , Make use of directly microscopy or through a form of the corneal ulcer or through epiphyte culture in laboratory, the choice of treatment.83 cases among the amnion transplantation combined clean out ulcer 22 cases, Tyro transplantation of corneal 8 cases, All patients iodized to cauterize combined clean out ulcer. Partial and full body conventional use to resist fungi drug treatment. Results 83 cases of 81 cases of cure , To cure rate 97.5%, Eyesight are increased .2 cases of reatment when corneal has extensive damage, To close to punch. The front room is thick with pus, Finally illness got worse and had to choose their eyeballs removal. Conclusions In Fungal keratitis reasonable drug treatment , applications , the innovation of surgical techniques and surgical methods the correct choice , is the key to effective infection control and prevent recurrence of infection.