羊膜移植术在眼外伤中的临床应用探讨

摘要

Objective:To investigate clinical application of amniotic membrane transplantation in eye trauma.Method:From September 2009 to September 2011,60 patients with ocular trauma were treated in our hospital,In all of the patients 18,cases with fungal corneal ulcer (clear trauma history),20 cases with traumatic corneal perforation,and 22 cases with severe alkali burns patients.Medical attendants carefully observe the clinical efficacy,including repair of the cornea,post-operative visual acuity and corneal neovascularization vascular growth after keratoplasty.Result:Of the 60 patients,45 cases cured,while 10 cases improved,only 5 cases invalid.Follow up the cases which improved or cured after surgery by regular visits of six months to a year,and there's no abnormal symptoms and all cured.Conclusion:Amniotic membrane transplantation in the treatment of eye trauma is not only efficacy,but also less damage to the eye.It is an effective method fo ocular trauma treatment.%目的:探讨羊膜移植术在外伤中的临床应用.方法:我院自2008年9月至201 1年9月,共收治了眼外伤患者60例,其中真菌性角膜溃疡患者(有明确的外伤史)18例,外伤性角膜穿孔患者20例,重度碱烧伤患者22例.在对其进行了角膜移植术治疗后,医护人员认真地观察了患者的临床疗效,包括角膜的修复情况、手术后的视力以及角膜新生的血管的生长情况.结果:本组60例患者在术后,治愈的达45例,好转的10例,无效的仅为5例.并且再度对好转和治愈的患者实施手术后,随访了半年至一年,均治愈并且没有再出现什么异常症状.结论:羊膜移植术在治疗外伤时,疗效显著,对眼部的损害小,是治疗眼外伤行之有效的方法.