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| 结膜瓣遮盖术治疗难治性角膜溃疡的临床观察 | |
| 引用本文： | 高文婷. 结膜瓣遮盖术治疗难治性角膜溃疡的临床观察[J]. 山东医学高等专科学校学报, 2011, 33(3): 197-199. DOI: 10.3969/j.issn.1674-0947.2011.03.015 |
| 作者姓名： | 高文婷 |
| 作者单位： | 苍山县大仲村中心卫生院眼科,山东苍山,277718 |
| 摘 要： | 目的观察结膜瓣遮盖术治疗难治性角膜溃疡的临床效果。方法对40例(40眼)药物治疗无效的难治性角膜溃疡患者行病灶清除+结膜瓣遮盖术治疗,据角膜溃疡的位置以及有无角膜穿孔采用略有不同的手术方式,术后针对原发病行进一步药物治疗。结果 33眼1次手术治愈角膜溃疡;7眼术后结膜瓣回退,再次行结膜瓣遮盖术,5眼溃疡修复,2眼反复行结膜瓣遮盖术3次,最终角膜自溶。溃疡愈合有效率达95%。38眼通过结膜瓣遮盖术达到治愈角膜溃疡,保存眼球的目的。结论对于药物治疗无效的难治性角膜溃疡,结膜瓣遮盖术仍是有效的治疗方法,尤其是对不能开展角膜移植的基层医院,可以控制炎症,保存眼球,具有重要的临床应用价值。 |
| 关 键 词： | 难治性角膜溃疡 结膜瓣遮盖术 临床疗效 |
CONJUNCTIVAL FLAP COVERING SURGERY IN TREATMENT OF REFRACTORY CORNEAL ULCER IN PRIMARY HOSPITAL |
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| GAO Wen-ting. CONJUNCTIVAL FLAP COVERING SURGERY IN TREATMENT OF REFRACTORY CORNEAL ULCER IN PRIMARY HOSPITAL[J]. Journal of Shandong Medical College, 2011, 33(3): 197-199. DOI: 10.3969/j.issn.1674-0947.2011.03.015 | |
| Authors: | GAO Wen-ting |
| Affiliation: | GAO Wen-ting(Dazhong Health Center,Cangshan County,Linyi,China 277718) |
| Abstract: | Objective To study the clinical curative effect of conjunctival flap covering surgery in the treatment of refractory corneal ulcer.Methods Forty patients(40 eyes) with refractory corneal ulcer were treated with the removal of the necrotic corneal tissue combined with conjunctival flap covering surgery.Different types of operation designs were adapted.Corneal ulcers with perforation were treated with double 2 layer conjunctival flaps covering surgery.Results Postoperatively,the corneal ulcer in 33 eyes was h... |
| Keywords: | Refractory corneal ulcer Conjunctival flap covering surgery Clinical curative effect |
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