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目的 观察手术清除角膜上皮病灶治疗中早期单纯疱疹病毒性角膜炎的临床效果。方法 对 136例(14 8只眼 )单纯疱疹性角膜炎患者采用随机分组方法分为治疗组和对照组 ,治疗组采用手术方法清除病变的角膜上皮加药物治疗 ;对照组仅采用药物治疗。结果 治疗组治疗时间最长 15天 ,最短 5天 ,平均 8.4天 ;对照组治疗时间最长 35天 ,最短 7天 ,平均 13.1天 ;同时 ,治疗组第一疗程观察治愈率达 88.5 % ;对照组第一疗程观察治愈率仅18.6 % ;结论 本疗法操作简便 ,容易掌握 ,能明显缩短治疗时间 ,减轻病人的痛苦及家庭的经济负担。
Objective To observe the clinical effect of surgical removal of corneal epithelial lesions in the early treatment of herpes simplex virus keratitis. Methods One hundred and sixty-six patients (14.8 eyes) with herpes simplex keratitis were randomly divided into treatment group and control group. The patients in the treatment group were treated by surgery to remove the corneal epithelium and drug. The control group was treated with drugs only. Results The treatment group had the longest treatment time of 15 days and the shortest 5 days with an average of 8.4 days. The control group had the longest treatment time of 35 days and the shortest of 7 days with an average of 13.1 days. At the same time, the cure rate of the first treatment course was 88.5% The cure rate of the first course of treatment was only 18.6%. Conclusion The therapy was simple and easy to grasp, which could shorten the treatment time and alleviate the suffering of the patients and the financial burden of the family.