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目的:探讨人异体结膜移植的适应症和疗效。方法:先清除结膜坏死组织或疤痕,把残留的结膜优先形成穹窿,取不带眼球筋膜的异体球结膜覆盖受体结膜创面。结果:术后6个月结膜创面完全修复者占76％。机械伤和烧灼伤后6个月单纯球结膜移植、移植面积占三分之一球结膜以下、供体是患者的父母或同胞的疗效较好。结论:1.对严重睑球粘连及结膜缺损病人同种异体结膜移植是可行的。2.健康球结膜少于1/2者效果差。3.机械伤效果好,烧灼伤较差,碱性化学伤最差。4.单纯球结膜移植效果较好。眼科学报 1995;11:189—191。
Objective: To investigate the indications and efficacy of allogeneic conjunctival transplantation. Methods: First clear the conjunctival necrosis or scar, the residual conjunctiva preferentially formed fornix, non-ocular fascia conjunctiva covering the conjunctiva wound. Results: Six months after surgery, conjunctival wounds completely repaired accounted for 76%. Mechanical injury and burn 6 months after the ball conjunctival transplantation, transplanted area accounted for one third of the ball below the conjunctiva, the donor is the patient’s parents or siblings better effect. Conclusions: 1. Allograft conjunctival transplantation is feasible for patients with severe symblepharon and conjunctival defects. 2. Health ball conjunctiva less than 1/2 poor results. 3. Mechanical injury effect is good, burning burn worse, alkaline chemical injury worst. 4 simple ball conjunctival transplantation is better. Journal of Ophthalmology 1995; 11: 189-191.