新鲜羊膜移植治疗眼表疾病89例

Fresh amnion transplant for the treatment of exterior ocular diseases in 89 cases

目的:探讨新鲜羊膜移植治疗眼表疾病的临床效果。方法:采用新鲜人羊膜移植治疗难治性眼表疾病89例,其中难治性翼状胬肉46例54眼,各种化学烧伤12例,热烧伤、爆炸伤5例,各种角膜溃疡22例、睑球粘连4例。结果:术后未发生1例感染,除2例翼状胬肉复发,1例溃疡穿孔,其余经3a随访均建立眼表,不同程度的提高了视力。结论:新鲜羊膜移植,能有效地重建眼表,且对基层来说是一种方便、经济、有效的方法。

AIM： To explore the clinical effect of fresh amnion transplant for the treatment of exterior ocular diseases. METHODS： Fresh amnion transplant was applied for treating the refractory exterior ocular diseases in 89 cases, which include 46 cases （54 eyes） of refractory pteryglum, 12 cases of various chemical burns, 5 cases of heat burns as well as explosive burns, 22 cases of various corneal ulcer and 4 cases of eye lid and eye ball synechia. RESULTS： No infection occurred in any case, except the recrudescence of pterygium in 2 cases and the cankerous perforation in 1 case. The ocular exterior was established by 3a follow-up in the rest cases and the eyesight increased to various extent. ~ CONCLUSION： Fresh amnion transplant can effectively reestablish the ocular exterior, which is a convenient, economical and effective method for the grass roots.