脱细胞异体真皮基质在结膜囊成形术中应用的研究

Clinical study and use of allograft acellular dermal matrix in the treatment of conjunctival sac narrow

目的研究刚种异体脱细胞真皮基质（ADM）组织补片在结膜囊成形术中的临床效果。方法对26例羟基磷灰石义眼台植入术后结膜囊狭窄进行结膜囊成形术。随访观察6～18月，平均11月。结果26例均获得良好效果。半年后组织补片呈正常结膜色泽外观，且稳定。无感染、坏死及排异等发生。配戴义眼片后患眼外形满意。结论采刖ADM组织补片进行结膜囊成形术，取材方便、手术安全。

Objective To study the clinical effect of allograft acellular dermal matrix（ADM） in the treatment of conjunctival sac narrow. Methods 26 cases（26 eyes） with conjunctival sac narrow after operation of hydroxyapatite （HA） implantation were treated with allograft acellular dermal matrix. Follow-up ranged from 6 to 18 months（averaged 11 months）. Results All of the 26 cases got satisfied clinieal effect. ADM emerged the normal colour and outward appearance of eonjunctiva 6 months postperation. No infection, necrosis or exclusion took place and good cosmetic effect were got after artificial eyes used. Conclusion It was suggested that ADM was convenient and safe on the conjunctiva sac rebuild in the eases of conjunctival sac narrow.