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首页> 外文期刊>Arquivos Brasileiros de Oftalmologia >Surgical amniotic membrane transplantation after conjunctival and limbal tumor excision
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Surgical amniotic membrane transplantation after conjunctival and limbal tumor excision

机译:结膜和角膜缘肿瘤切除后的手术羊膜移植

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Purpose: To evaluate the clinical results of patients treated by amniotic membrane transplantation (AMT) following excision of conjunctival and limbal tumors. Methods: A total of 14 eyes of 14 patients who underwent AMT after total lesion-free tumor excision and perilesional cryotherapy were evaluated. Results: The excised tumors comprised 7 conjunctival intraepithelial neoplasia, 5 conjunctival nevus, 1 primary acquired melanosis, and 1 squamous cell carcinoma. Limbus was involved in 10 cases, whereas cornea was involved in 6 cases. The average measurement of the tumor base was 14.8 mm (range 6-20 mm, SD 16 mm). The mean follow-up time period was 17.5 months (range 6 -60 months, SD 20 months). Complete healing occurred in eight eyes, but limbal cell deficiency developed in two eyes. Four cases had recurrence and were treated with the same surgical and medical procedures; during follow-up after recurrence, superficial peripheral vascularization and corneal scar were noted to have developed. Conclusions: AMT was effective for reconstruction of tissue defect after excision and cryotherapy of limbal and conjunctival tumors. In most of these cases, complete healing was achieved with a smooth, stable, and translucent surface.
机译:目的:评估结膜和角膜缘肿瘤切除后经羊膜移植(AMT)治疗的患者的临床结果。方法:对14例全无病灶切除和病灶周围冷冻治疗后行AMT的患者的14只眼进行评估。结果:切除的肿瘤包括7个结膜上皮内瘤样变,5个结膜痣,1个原发性黑素瘤和1个鳞状细胞癌。 Limbus涉及10例,而角膜涉及6例。肿瘤基部的平均尺寸为14.8 mm(范围6-20 mm,SD 16 mm)。平均随访时间为17.5个月(范围6 -60个月,SD为20个月)。八只眼完全愈合,但两只眼出现角膜缘细胞缺乏症。 4例复发并接受相同的手术和医疗程序治疗;在复发后的随访过程中,已发现浅表周围血管形成和角膜瘢痕。结论:AMT对角膜缘和结膜肿瘤切除冷冻治疗后的组织缺损有效。在大多数情况下,可通过光滑,稳定和半透明的表面实现完全愈合。

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