国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
11期
2018-2020
,共3页
儿童眼外伤性角膜损伤或穿孔%多层羊膜覆盖治疗
兒童眼外傷性角膜損傷或穿孔%多層羊膜覆蓋治療
인동안외상성각막손상혹천공%다층양막복개치료
children traumatic corneal injury or perforation%multilayer amniotic membrane covering therapy
目的：：研究儿童眼外伤性角膜损伤或穿孔行多层羊膜覆盖治疗的效果。方法：随机选取2012-05/2015-05我院收治的儿童眼外伤性角膜损伤或穿孔患儿60例72眼，依据治疗方法将这些患儿分为两组，研究组30例36眼和对照组30例36眼。给予对照组患儿单层羊膜覆盖治疗，给予研究组患儿多层羊膜覆盖治疗。结果：研究组患儿的羊膜持续时间显著长于对照组(P<0.05)，角膜水肿消退时间均显著短于对照组(P<0.05)，新生血管生成<3个象限比例28%(10/36)显著高于对照组17%(6/36)(P<0.05)，无生成比例11%(4/36)显著低于对照组28%(10/36)(P<0.05)，视力为0.3~1.0占11%(4/36)显著高于对照组3%(1/36)(P<0.05)，手动/眼前~0.1占56%(20/36)显著低于对照组72%(26/36)(P<0.05)。结论：儿童眼外伤性角膜损伤或穿孔行多层羊膜覆盖治疗的效果良好。
目的：：研究兒童眼外傷性角膜損傷或穿孔行多層羊膜覆蓋治療的效果。方法：隨機選取2012-05/2015-05我院收治的兒童眼外傷性角膜損傷或穿孔患兒60例72眼，依據治療方法將這些患兒分為兩組，研究組30例36眼和對照組30例36眼。給予對照組患兒單層羊膜覆蓋治療，給予研究組患兒多層羊膜覆蓋治療。結果：研究組患兒的羊膜持續時間顯著長于對照組(P<0.05)，角膜水腫消退時間均顯著短于對照組(P<0.05)，新生血管生成<3箇象限比例28%(10/36)顯著高于對照組17%(6/36)(P<0.05)，無生成比例11%(4/36)顯著低于對照組28%(10/36)(P<0.05)，視力為0.3~1.0佔11%(4/36)顯著高于對照組3%(1/36)(P<0.05)，手動/眼前~0.1佔56%(20/36)顯著低于對照組72%(26/36)(P<0.05)。結論：兒童眼外傷性角膜損傷或穿孔行多層羊膜覆蓋治療的效果良好。
목적：：연구인동안외상성각막손상혹천공행다층양막복개치료적효과。방법：수궤선취2012-05/2015-05아원수치적인동안외상성각막손상혹천공환인60례72안，의거치료방법장저사환인분위량조，연구조30례36안화대조조30례36안。급여대조조환인단층양막복개치료，급여연구조환인다층양막복개치료。결과：연구조환인적양막지속시간현저장우대조조(P<0.05)，각막수종소퇴시간균현저단우대조조(P<0.05)，신생혈관생성<3개상한비례28%(10/36)현저고우대조조17%(6/36)(P<0.05)，무생성비례11%(4/36)현저저우대조조28%(10/36)(P<0.05)，시력위0.3~1.0점11%(4/36)현저고우대조조3%(1/36)(P<0.05)，수동/안전~0.1점56%(20/36)현저저우대조조72%(26/36)(P<0.05)。결론：인동안외상성각막손상혹천공행다층양막복개치료적효과량호。
Abstract? AlM: To study the effect of multilayer amniotic membrane covering therapy for the treatment of traumatic corneal injury or perforation in children.? METHODS: Sixty cases ( 72 eyes ) were randomly selected from the children with traumatic corneal injury or perforation from May 2012 to May 2015 in our hospital. They were divided into two groups according to the different treatments, the study group (30 patients with 36 eyes) and the control group (30 patients with 36 eyes). The patients in control group were given single layer amniotic membrane covering treatment, while those in study group were given multilayer amniotic membrane covering treatment.?RESULTS:The duration of the amniotic membrane of the study group was significantly longer than that of the control group (P<0. 05). The corneal edema time was significantly shorter (P<0. 05). The rate of patients who had angiogenesis <3 quadrants was 28% ( 10/36 ) , which was significantly higher than that of the control group 17%(6/36 ) ( P < 0. 05 ). The rate of patients without angiogenesis was 11% ( 4/36 ) , which was significantly lower than that of the control group 28% ( 10/36 ) ( P<0. 05). The rate of patients with the visual acuity 0. 3 ~1. 0 in observation group was 11% ( 4/36 ) , which was significantly higher than that of the control group 3% ( 1/36) (P<0. 05). The rate of patients with visual acuity hand motion/before eyes ~0. 1 was 56% (20/36), which was significantly lower than that of the control group 72% (26/36) (P<0. 05).? CONCLUSlON: The multilayer amniotic membrane covering therapy was effective on the treatment of traumatic corneal injury or perforation in children.
