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目的探讨羊膜移植结膜囊成形术中的疗效。方法36例(36眼)结膜囊成形术,包括16眼结膜缺损,行单纯羊膜移植术;8眼睑球粘连涉及角膜或角膜有大量新生血管,行羊膜移植联合板层角膜移植术;12眼行羊膜移植联合结膜穹隆成形。术后随访6～12个月。结果无1例感染。术后10d,移植的羊膜透明,缝合处结膜向羊膜上爬行;术后1个月新生的结膜上皮完全覆盖移植区。36眼治愈14眼,好转19眼,无效3眼。结论羊膜移植是修补结膜囊的一种有效方法。
Objective To investigate the effect of amniotic membrane transplantation in conjunctival sacoplasty. Methods 36 cases (36 eyes) of conjunctival sac, including 16 conjunctival defects, simple amniotic membrane transplantation; ocular bulbar adhesions involving a large number of corneal or corneal neovascularization, amniotic membrane transplantation combined with lamellar keratoplasty; 12 eyes Amniotic membrane transplantation combined with conjunctival dome formation. Follow-up 6 to 12 months after operation. No one case of infection. Ten days after transplantation, the transplanted amniotic membrane was transparent and the conjunctiva at the suture was crawled to the amniotic membrane. The neonatal conjunctival epithelium completely covered the transplanted area at 1 month after operation. 36 eyes cured 14 eyes, improved 19 eyes, invalid 3 eyes. Conclusion Amniotic membrane transplantation is an effective method to repair conjunctival sac.