干燥生物羊膜移植治疗眼表疾病术式选择及手术技巧

Operative approach and skill for desic and biological amniotic membrane grafting in treating ocular surface diseases

目的探讨干燥生物羊膜移植在不同眼表疾病中的术式选择及手术技巧。方法对79例100眼眼烧伤、翼状胬肉、结膜肿物的患者,采用干燥生物羊膜移植的不同术式治疗,随访观察术后疗效。结果眼烧伤组22例26眼,1眼角膜穿孔;翼状胬肉组45例59眼,2眼复发;结膜肿物及其他组12例15眼,术后均恢复良好。结论对不同的眼表疾病选择不同术式的羊膜移植,并采用无创、无镊和镶嵌匹配式缝合,有助于加速创面愈合、减少复发。有结膜创伤史的患者应首选生物羊膜移植术。

Objective To approach the operative methods and skills of desic and biological amniotic membrane grafting in different ocular surface diseases.Methods 79 patients（100 eyes） with eye burn,pterygium and conjunctiva tumor,who accepted different types of desic and biological amniotic membrane grafting were followed up.Results Corneal perforation occurred only in 1 eye of the eye burn group（1/26）;recurrence happened in 2 eyes of the pterygium group（2/59）;15 eyes in the conjunctiva tumor and other groups had good recuperation after the operations.Conclusion Different types of amniotic membrane grafting should be selected for different ocular surface diseases.Non-invasive,non-tweezers and mosaic sutures should be adopted to speed up wound healing and reduce recurrence.Biological amniotic membrane grafting is the choice of operation for patients with a history of conjunctiva trauma.