医学研究生学报
醫學研究生學報
의학연구생학보
JOURNAL OF MEDICAL POSTGRADUATE
2015年
8期
889-892
,共4页
张章%周如侠(综述)%王林农(审校)
張章%週如俠(綜述)%王林農(審校)
장장%주여협(종술)%왕임농(심교)
角膜内皮移植术%后弹力层剥除内皮移植术%后弹力层角膜内皮移植术%飞秒激光%植片
角膜內皮移植術%後彈力層剝除內皮移植術%後彈力層角膜內皮移植術%飛秒激光%植片
각막내피이식술%후탄력층박제내피이식술%후탄력층각막내피이식술%비초격광%식편
Corneal endothelial transplantation%Descemet stripping endothelial keratoplasty%Descemet membrane endotheli-al keratoplasty%Femtosecond%Graft
角膜内皮移植术在国内外临床应用中均取得良好的效果,现已成为治疗严重角膜内皮病变的首选方法。其保留了患者自体健康的角膜上皮层、前弹力层和基质层,尽可能维持了眼表的完整性,减少了散光。此种手术方法的特点是损伤小、排斥反应少,视力恢复快。后弹力层剥除角膜内皮移植术是目前流行的手术方式,而后出现的飞秒激光的运用和后弹力层角膜内皮移植术向我们展示了其先进性。文中就角膜内皮移植的发展进程、手术方式以及并发症等进行综述。
角膜內皮移植術在國內外臨床應用中均取得良好的效果,現已成為治療嚴重角膜內皮病變的首選方法。其保留瞭患者自體健康的角膜上皮層、前彈力層和基質層,儘可能維持瞭眼錶的完整性,減少瞭散光。此種手術方法的特點是損傷小、排斥反應少,視力恢複快。後彈力層剝除角膜內皮移植術是目前流行的手術方式,而後齣現的飛秒激光的運用和後彈力層角膜內皮移植術嚮我們展示瞭其先進性。文中就角膜內皮移植的髮展進程、手術方式以及併髮癥等進行綜述。
각막내피이식술재국내외림상응용중균취득량호적효과,현이성위치료엄중각막내피병변적수선방법。기보류료환자자체건강적각막상피층、전탄력층화기질층,진가능유지료안표적완정성,감소료산광。차충수술방법적특점시손상소、배척반응소,시력회복쾌。후탄력층박제각막내피이식술시목전류행적수술방식,이후출현적비초격광적운용화후탄력층각막내피이식술향아문전시료기선진성。문중취각막내피이식적발전진정、수술방식이급병발증등진행종술。
Corneal endothelial transplantation has achieved good results in domestic and foreign clinical applications , which has become the preferred method for treatment of severe corneal endothelial lesion .Corneal endothelial transplantation retained the patients′autologous healthy corneal epithelum , Bowman′s membrane and the strooma , as far as possible to ensure the integrity of the ocular sur-face, reduce the astigmatism.It had some advantages such as small invasiveness , less rejection, and faster visual recovery .Descemet stripping endothelial keratoplasty is the mianstream mode of operation , then the advanced femtosecond laser Descemet′s membrane en-dothelial keratoplasty were developed .We review the development course , operation methods , and complications of corneal endothelial transplantation in this paper .