新鲜羊膜与生物羊膜移植治疗早期眼烧伤的临床观察

目的 观察新鲜羊膜与生物羊膜移植术治疗早期眼烧伤的临床效果.方法 收集2006年1月～2007年3月于本院眼科诊治的眼表烧伤病例19例(19只眼),分为两组新鲜移植治疗组和生物羊膜移植治疗组,术后随访3～18个月.结果 19眼术后移植片全部存活,角膜上皮愈合良好,未发现无排斥反应和继发感染,未见新生血管形成及睑球粘连,视力较术前均有不同程度提高.结论 新鲜羊膜与生物羊膜均可重建眼表,治疗眼表烧伤,二者对于眼表烧伤重建效果间无显著性差异.

Clinical Observation of Fresh Amniotic Membrane and Biotic Amniotic Membrane Grafting for Treating Eye Burn in Early Stage

Objective To observe the curative effect of fresh amniotic membrane and biotic amniotic membrane grafting for treating eye burn in early stage. Method We collected 19 cases (19eyes) with burn in ocular surface treated in our hospital from January 2006 to March 2007. The 19 cases were divided into two groups. One group was treated with amniotic membrane grafting (FAMG) and the other group was treated with biotic amniotic membrane grafting(BAMG) ,with follow time of 3 ～ 18 month after operation. Results After opera-tion, all the grafted membranes in the 19 cases survived. The corneal epithelium was well healed without rejection and secondary infection. No symblepharon or corneal neovascularization was noted and the vision improved with different degree. Conclusion Both fresh amniotic membrane and biotic amniotic membrane are used for recovering the ocular surface to cure bye burn and biotic amniotic membrane has the same curative effect as compared with fresh amniotic membrane.