羊膜移植结膜囊成形术的疗效观察

目的探讨羊膜移植结膜囊成形术中的疗效。方法36例（36眼）结膜囊成形术，包括16眼结膜缺损，行单纯羊膜移植术；8眼睑球粘连涉及角膜或角膜有大量新生血管，行羊膜移植联合板层角膜移植术；12眼行羊膜移植联合结膜穹隆成形。术后随访6～12个月。结果无1例感染。术后10d，移植的羊膜透明，缝合处结膜向羊膜上爬行；术后1个月新生的结膜上皮完全覆盖移植区。36眼治愈14眼，好转19眼，无效3眼。结论羊膜移植是修补结膜囊的一种有效方法。

Application of amniotic membrance in conjunctival sac plasty

Objective To observe the application of amniotic membrane in conjunctival sac plasty. Methods 36 cases with different eye diseases were performed with conjunctival sac plasty, in which 16 eyes were performed with anmiotic membrane transplantation, 8 eyes with symblepharon which adhered with cornea or emerged neovascularization were performed with amniotic membrane transplantation and lamellar kemtoplasty, other 12 eyes were performed with amniotic membrane transplantation and conjunctival fomixe. They were followed up for 6 - 12months. Results There was no inflammation observed after operation. The transplanted amniotic membrane turned transparent and the conjunctiva at sewing location crawled to amnion 10 d after operation. One month later, the neonatal conjunctiva covered transplanting region completely. Among the 36 eyes, 14 eyes were healed, 19 eyes were improved, and 3 were ineffective. Conclusion Amniotic membrane is a kind of effective material during conjunctival sac plasty for narrow conjunctival sac.