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
2013年
3期
187-189
,共3页
眼烧伤%眼表重建%羊膜%移植
眼燒傷%眼錶重建%羊膜%移植
안소상%안표중건%양막%이식
Eye burns%Reconstruction,ocular surface%Amniotic membrane%Transplantation
目的 评价羊膜移植治疗眼表化学烧伤及热烧伤的临床疗效.方法 收集我院眼部化学及热烧伤28例(36眼),行低温保存羊膜移植术治疗,随访6～24个月.术后观察视力,羊膜移植片情况,角膜恢复情况及角膜上皮修复时间,并发症.结果 术后视力提高者24眼(66.7％),不变者9眼(25.0％),降低者3眼(8.3％).羊膜移植片情况:36眼中羊膜覆盖成活29眼,成活率达80.6％.角膜恢复情况:36眼中角膜最终恢复透明3眼,角膜薄翳12眼,角膜斑翳14眼,角膜白斑5眼,角膜穿孔2眼.角膜上皮愈合时间:34眼角膜上皮1～4周全部愈合.2眼经治疗后失败,角膜穿孔,行眼球摘除术.结论 低温保存羊膜移植术是治疗眼表化学及热烧伤的有效方法.但对于重度眼烧伤患者可能需行多次羊膜移植术才能保全眼球.
目的 評價羊膜移植治療眼錶化學燒傷及熱燒傷的臨床療效.方法 收集我院眼部化學及熱燒傷28例(36眼),行低溫保存羊膜移植術治療,隨訪6～24箇月.術後觀察視力,羊膜移植片情況,角膜恢複情況及角膜上皮脩複時間,併髮癥.結果 術後視力提高者24眼(66.7％),不變者9眼(25.0％),降低者3眼(8.3％).羊膜移植片情況:36眼中羊膜覆蓋成活29眼,成活率達80.6％.角膜恢複情況:36眼中角膜最終恢複透明3眼,角膜薄翳12眼,角膜斑翳14眼,角膜白斑5眼,角膜穿孔2眼.角膜上皮愈閤時間:34眼角膜上皮1～4週全部愈閤.2眼經治療後失敗,角膜穿孔,行眼毬摘除術.結論 低溫保存羊膜移植術是治療眼錶化學及熱燒傷的有效方法.但對于重度眼燒傷患者可能需行多次羊膜移植術纔能保全眼毬.
목적 평개양막이식치료안표화학소상급열소상적림상료효.방법 수집아원안부화학급열소상28례(36안),행저온보존양막이식술치료,수방6～24개월.술후관찰시력,양막이식편정황,각막회복정황급각막상피수복시간,병발증.결과 술후시력제고자24안(66.7％),불변자9안(25.0％),강저자3안(8.3％).양막이식편정황:36안중양막복개성활29안,성활솔체80.6％.각막회복정황:36안중각막최종회복투명3안,각막박예12안,각막반예14안,각막백반5안,각막천공2안.각막상피유합시간:34안각막상피1～4주전부유합.2안경치료후실패,각막천공,행안구적제술.결론 저온보존양막이식술시치료안표화학급열소상적유효방법.단대우중도안소상환자가능수행다차양막이식술재능보전안구.
Objective To evaluate the clinical curative effect of amniotic membrane grafting for ocular chemical burn and thermal burn.Methods We collected 28 patients (36 eyes) with ocular chemical and thermal burn,which had been treated with amniotic membrane grafting in our hospital.The follow-up time ranged from 6 months to 24 months.The postoperative visual acuity,the condition of amniotic membrane transplant,renovation of cornea,healing time of corneal epithelium and complications were observed.Results Postoperative corrected visual acuity was improved in 24 eyes(66.7％),it was not changed in 9 eyes(25.0％),the visual acuity declined in 3 eyes(8.3％).The amniotic membrane survived in 29 eyes and the survival rate was up to 80.6％.The cornea of 3 eyes recovered to transparent.Nebula emerged in 12 eyes eventually.Corneal macula emerged in 14 eyes.5 eyes ended up with leukoma.2 eyes resulted in cornea perforation.The corneal epithelium of 34 eyes recovered entirely within 1 to 4 weeks.2 eyes failed after therapy.Conclusion Amniotic membrane grafting is an effective method to deal with ocular surface burn.But for severe burned eyes,several times of amniotic membrane transplantation need to be done for preserving eyeball.
