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目的观察重度化学性眼灼伤早期(伤后3周内)行结膜与角膜移植手术治疗的临床疗效。方法对18例(21眼)重度化学性眼灼伤早期行坏死结膜、角膜板层组织切除联合结膜及板层角膜移植,术后随访1a以上。结果15只眼手术成功,维系相对正常的球表结构,为尔后行增视性角膜移植创造了条件。结论重度化学性眼灼伤早期行结膜及角膜板层移植手术是可行及有效的,比保守治疗主动。可在相当程度上扼制灼伤后持续的炎症反应过程。手术适应证、手术技巧及术后处理有待深入研究
Objective To observe the clinical effect of surgical treatment of conjunctival and corneal transplantation in the early stage of severe chemical eye burns (within 3 weeks after injury). Methods Eighteen patients (21 eyes) with severe chemical eye burns underwent early necrotic conjunctiva and corneal lamellar resection combined with conjunctival and lamellar keratoplasty. The patients were followed up for more than 1a. Results The successful operation of 15 eyes and the maintenance of the relative normal ball table structure created the conditions for retrospective corneal transplantation. Conclusion Severe chemical eye burns early conjunctival and corneal lamellar transplantation surgery is feasible and effective than the conservative treatment of active. To a considerable extent, to curb the persistent inflammatory reaction after burn. Surgical indications, surgical techniques and postoperative treatment need further study